I agree that dose error reduction systems (DERS) do not eliminate all infusion pump medication administration risks. Pushing the wrong button, working from the wrong order, or just getting interrupted when configuring a complex titration does happen. Stories make the national news here a few times a year. (The last one was some actor's twin neonates who almost died.)
Certainly DERS are not really "smart" - they're only as good as the formulary that is loaded into them. But they do protect from human error as it relates to pump configuration.
Over here if a pump configuration error results in a patient death, the hospital is not out any reimbursement. But if an injury occurs, the costs go up considerably. That's how such systems have been justified over here.
Smart pumps have reached just over 50% market penetration in the U.S.
