  Smart Infusion Pumps are vital tools for use in administering a broad range
of parenteral/intravenous medications. Safe and effective use of smart infusion
pumps depends upon their integration with Pump Servers, Computerized Physician
Order Entry Systems, Pharmacy Information Systems, DERS/MERS Dose/Medication
Error Reduction Systems( and the digital Drug Libraries that they use),
eMARS/electronic Medication Administration Records Systems, etc. More computer
systems result in more computer network connections, with systems that run on
ever more lines of computer software code. Resulting in more chaos and more
complexity, and inevitably a greater likelihood for systems failure and/or
malfunction - this in effect runs contrary to the objective of deploying
clinical informatics solutions such as smart infusion systems, due to their
inherent technical and chronic performance problems as well as error prone
usage that may occasion Recessive(unintended but underlying) Lethal Autonomy.
The Recursive Concurrence protocols suggested in this paper are a means for
reducing if not eliminating the challenging phenomenon of Recessive Lethal
Autonomy in clinical informatics devices and/or systems.
