For children’s hospitals that are integrated within adult health systems and share an Epic EMR, do you have a structured process to ensure pediatric‑specific considerations are incorporated into medication builds?

Specifically, how do you ensure that elements such as dispense logic, dose warning alerts, smart pump guardrails, and other safety checks are optimized for pediatric use—even when a medication is not commonly used or intended for pediatric areas?

Additionally, do you have a “final line of defense” in place to alert clinicians when dispensing may not be safe for pediatric patients (for example, restricting or eliminating percentage‑based dose rounding)?

If so, I’d appreciate hearing about your workflow, governance structure, or any best practices you’ve found effective.