HealthcareMedication Management3MediumNew Registered Nurse$ implied
A new nurse accidentally wasted narcotic medication due to confusing PCA pump workflow and is panicking about disciplinary consequences.
The electronic health record (EPIC MAR) did not clearly indicate that the new order was a parameter change only and not a new medication to be physically hung, leading to narcotic waste and a reportable incident.
44
0
Opp. Score
44
Severity
3Medium
Willingness to Pay
implied
Added
Aug 10, 2026
Workarounds Described
- pulled and wasted a partial medication bag due to misinterpreting an order change
- sought verbal reassurance from charge nurse about disciplinary process
Implied Software Gaps
- EHR should prevent pulling a new PCA bag when only pump settings are modified
- System should provide just-in-time nursing education on PCA workflow during order changes
App Concept
PCA Pump Change Smart Alert
A clinical decision support module that intercepts duplicate PCA medication pulls when only settings were changed. It clarifies orders at the point of retrieval to prevent unnecessary waste and documentation flags.
Key Features
- Real-time alert when pulling duplicate PCA med for same patient
- Clear visual distinction between 'settings change only' and 'new bag required' orders
- Automated waste documentation workflow with dual sign-off integration
Target Users: Bedside nurses and charge nurses in hospital med-surg and ICU settings
Revenue Model: $15/mo per user SaaS subscription as part of an EHR-integrated safety module
Existing Solutions Mentioned
EPIC MAR
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