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Table 2 Results of the in silico validation

From: An implementation framework and a feasibility evaluation of a clinical decision support system for diabetes management in secondary mental healthcare using CogStack

  

Wards

Totals

  

Ward X

Ward Y

Ward Z

Expected (n)

Actual (n)

1.

System triggers one alert for patient on test ward once a new HbA1c result is reported in the EHR

11

7

14

32

32

2.

System triggers one alert for patient on test ward if no new HbA1c result is reported on EHR after 4 days post-admission

14

15

20

49

49

3.

System triggers weekly alert reminders for patients on test ward if HbA1c result is not reported on EHR, after the initial reminder alert described in (2)

7

4

9

20

20

4.

Alerts triggered include a summary of previous HbA1c reports if reported on EHR

32

26

43

101

101

5.

Alert triggered for new HbA1c provides HbA1c value and suggestion for which threshold range this fits into ie normal, pre-diabetes, diabetes, or severe dysglycaemia as per alerting algorithm

11

7

14

32

32

6.

Alert provides prompts on recommended actions in line with clinical algorithm

32

26

43

101

101

7.

Alert contains factually correct clinical and patient identifier information (correct HbA1c result, correct name, correct NHS number)

32

26

43

101

101

8.

Alert does not contain incorrect clinical information or incorrect identifiers (name and NHS number)

32

26

43

101

101

9.

Alerts are only triggered as per the algorithm (no additional or unexpected alerts triggered)

32

26

43

101

101

10.

Alerts are not triggered once patients are discharged from ward

0

0

0

0

0