Footnotes

• Twitter Follow David Bates at @dbatessafety

• Contributors GDS, T-TTH, AW: writing of the manuscript, data analysis and review. LAV: critical review of the manuscript and overseeing the administrative aspects of the project. DWB: critical review of the manuscript, provided ideas and important concepts included in the manuscript.

• Funding US Food and Drug Administration (HHSF223201000008I/HHSF22301005T).

• Competing interests DWB is a co-inventor on patent no. 6029138 held by Brigham and Women's Hospital on the use of decision support software for medical management, licensed to the Medicalis Corporation. He holds a minority equity position in the privately held company Medicalis, which develops web-based decision support for radiology test ordering. He consults for EarlySense, which makes patient safety monitoring systems.

• Ethics approval Partners IRB.

• Provenance and peer review Not commissioned; externally peer reviewed.