Improved speed and efficiency of SA compared with manual system

User-friendly and convenient

Safe, trustworthy and accurate

Appreciated ability to double check SA or use it to double check nurses’ work

Belief that trust and comfort with SA would increase with more time and use

SA helped to avoid the major barrier of finding a second nurse for a double check

SA would be useful given ICU business and high workload

SA similarly easy to use as manual system

SA similarly safe as manual system

Safety, efficiency and utility of SA would depend on interuser variability in trust and workload

Concern about SA’s ability to integrate proper data and correctly run algorithm

Concern about pump-SA interoperability

EMR downtime, Wi-Fi connectivity and glucometer syncing issues

Confusing display

Discomfort with lack of a second nurse

Uneasiness with new technology and electronic protocols in general

Concern that SA would induce laziness among clinicians, loss of skills or lack of awareness of patient conditions and trends

Necessary for nurses to double check SA

Display of blood glucose values linearly from oldest to newest

Display data and protocol side-by-side

Occupy larger portion of the screen

Decrease lag time from pump to EMR

Create an SA tab in EMR

Link to SA in the MAR and redirection to the MAR after dose confirmation in SA

Link to SA in the flowsheets

Generate alert when dose check is required