Standard hERG assays detect acute ion channel pore block but miss trafficking inhibition - a mechanism where drugs prevent the hERG protein from reaching the cell membrane. This trafficking pathway accounts for approximately 40% of hERG-related drug failures and explains why compounds like Pentamidine pass early screens but cause severe QT prolongation clinically. Biosentry's dual-pathway computational screen addresses this gap by detecting both acute block and trafficking disruption in a single pass. Proof-of-concept validation against CiPA reference compounds demonstrates successful detection of known clinical outcomes.