Journal of the American Medical Informatics Association : JAMIA
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J Am Med Inform Assoc · Mar 2016
An In silico method to identify computer-based protocols worthy of clinical study: An Insulin infusion protocol use case.
Develop an efficient non-clinical method for identifying promising computer-based protocols for clinical study. An in silico comparison can provide information that informs the decision to proceed to a clinical trial. The authors compared two existing computer-based insulin infusion protocols: eProtocol-insulin from Utah, USA, and Glucosafe from Denmark. ⋯ Preclinical in silico comparison analytical framework allows rapid and inexpensive identification of computer-based protocol care strategies that justify expensive and burdensome clinical trials.
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J Am Med Inform Assoc · Mar 2016
The vulnerabilities of computerized physician order entry systems: a qualitative study.
To test the vulnerabilities of a wide range of computerized physician order entry (CPOE) systems to different types of medication errors, and develop a more comprehensive qualitative understanding of how their design could be improved. ⋯ The authors found high variability in ordering approaches between different CPOE systems, with major deficiencies identified in some systems. It is important that developers reflect on these findings and build in safeguards to ensure safer prescribing for patients.