Impact of a technology-assisted workflow system on compounding documentation and regulatory compliance

PURPOSE: To evaluate the implementation of a technology-assisted workflow (TAWF) system across 3 hospitals within an integrated delivery network. The overall goal was to assess the system's impact on compounding compliance, workflow efficiency, and operational standardization. SUMMARY: The study was conducted at 3 community teaching hospitals in the northeast United States. Prior to TAWF implementation, regulatory documentation practices were largely manual and varied between sites. The TAWF system was selected for its flexibility, minimal hardware requirements, and adaptability to existing workflows. Implementation included standardized training, staggered go-live dates, and continued adjustments based on site feedback. Outcomes were evaluated using a mixed-methods approach, including ethnographic observation, workflow mapping, and data analytics. After implementation, 2 of 3 sites showed significant improvements in compounding record (CR) compliance. Adjusted workflow mapping revealed TAWF did not increase overall compounding time. Unexpected benefits included barcode scanning and photo documentation, enhanced traceability and safety, and accumulation of centralized data enabling better recall management and financial auditing. CONCLUSION: TAWF implementation improved documentation compliance, maintained workflow efficiency, and enabled enterprise-wide standardization. The system also delivered unanticipated benefits in medication safety monitoring and enterprise operational oversight. These findings support broader TAWF adoption across the health system and highlight the value of technology in meeting changing regulatory standards while enhancing pharmacy practice.