During closed-loop administration of diluted insulin, the pump settings were changed by multiplying the current settings by a factor of five, and the revised settings were entered into the computer running the closed-loop algorithm.
Concurrent with the implementation of CPOE was the installation of a closed loop medication administration system including embedded clinical decision support, automated pharmacy robot dispensing, online medication administration documentation and bar code medication administration.
At LVHN, the implementation of this closed loop medication administration system is estimated to have reduced potential harmful medication errors by 80%. a The initial approach to CDS at LVHN was very deliberate.
A closed loop electronic prescribing, dispensing and administration system may help confront some of the problems between different healthcare professionals identified above [ 103].
After several months of receiving emails full of buzzwords such as improved care coordination and effective closed-loop med administration from the powers that be, I couldn't help but drink the Kool-Aid and join the anticipated excitement of integrating an innovative source of technology into an over-booked and often overwhelming practice.
This study provides the first clinical evidence that this closed-loop fluid administration system can assist clinicians in providing, and even improving, the quality of GDFT.
In the closed-loop setting, administration of glucagon when insulin effect is high would require scaling the dose upwards to compensate for prevailing insulin activity.
In this article, we report the first comparison of a closed-loop fluid administration system to assist clinicians in providing GDFT versus manual GDFT application in surgical patients.
MC received research grants from Edwards Lifesciences and Masimo Corp. MC is co-inventor and co-owner on US and International patent applications related to closed-loop fluid administration and hold an equity positions in Sironis, a company developing closed-loop medical devices.
The aim of this study was to assess a closed-loop fluid administration system in a surgical cohort and compare the results with those for matched patients who received manual management.
This is of particular importance as closed loop systems are hampered by the time delay inherent in subcutaneous insulin administration.
