Background Bowel management for inpatients is often an imprecise science. The aims of this study were to evaluate the effect of a quantifiable bowel timing monitoring approach, in. Injunction with threshold based notifications, for the prevention of inpatient constipation. Methods This study was conducted at the Lyell McEwin Hospital across five inpatient teams. A pre versus post implementation designed was employed. In this study, a method of bowel motion timing quantification was employed, with automated daily notifications beyond 72 hours since the last bowel motion. The primary outcome was patients exceeding bowels not open day 5. Results 984 patients were included. Implementation resulted in a significant reduction in the number of patients who experience bowels not opened beyond five days in the post-implementation period (29/517, 5.6%, vs 9/467, 1.9%, P = 0.0047). This effect was also seen at threshold of BNO 6 days (24 occurrences, 4.6% VS 8 occurrences, 1.7%. P=0.016) and above. The system generated $4,795.13 in savings, equating to $62,336.63 for the five services over a calendar year. Conclusion With quantification of bowel timing and the delivery of automated daily notifications, inpatient constipation was reduced. This intervention was cost effective. This automated quantified method of presenting bowel motion timing could have future utility for monitoring of postoperative gastrointestinal recovery, and detection of postoperative ileus, after general surgery and colorectal surgery.