St Clair Hospital has had bar code point-of-care (BPOC) installed since March 2004, but wanted to further close the loop on medication administration. As such, in April 2007, St Clair created an interdisciplinary team comprised of nursing, pharmacy, risk management, bio-med, information technology and materials management to evaluate how smart infusion technology could further reduce the risk of medication administration errors. After 12 months evaluating smart pump technology, wireless connectivity, and associated reporting and management systems, the team deployed Hospira Symbiq smart infusion pumps to reduce the risk of infusion-related medication errors. To address medication safety gaps, complete integration between the Symbiq smart infusion pumps and the Hospira VeriScan BPOC system would need to be accomplished. For St Clair Hospital, the integration of smart pumps and BPOC superseded expectations with reduced medication administration errors; improved patient safety; enhanced clinician productivity; expanded reporting to include patient context; and, the healthcare Holy Grail, tangible ROI.