In large hospital environments, nurses are responsible for administering medications and consumables while managing multiple tasks under time pressure. In this case, medication and material tracking was handled through a fully manual process.
- Nurses carried used or remaining items during their shift.
- Items were later delivered to a charge desk on each floor.
- A separate staff member manually recorded the transactions.
This introduced operational and clinical issues: items could be forgotten or lost before being recorded, some materials were never charged properly, nurse activity was not systematically captured, and there was no reliable real-time confirmation of patient-medication matching.
Because usage was recorded after the fact, stock levels in the system often diverged from actual consumption. Supplies could appear available digitally while already depleted on the floor, causing delays in care and downstream inefficiencies.