AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
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AMIA Annu Symp Proc · Nov 2010
Comprehensive yet scalable health information systems for low resource settings: a collaborative effort in sierra leone.
We address the problem of how to integrate health information systems in low-income African countries in which technical infrastructure and human resources vary wildly within countries. We describe a set of tools to meet the needs of different service areas including managing aggregate indicators, patient level record systems, and mobile tools for community outreach. We present the case of Sierra Leone and use this case to motivate and illustrate an architecture that allows us to provide services at each level of the health system (national, regional, facility and community) and provide different configurations of the tools as appropriate for the individual area. Finally, we present a, collaborative implementation of this approach in Sierra Leone.
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AMIA Annu Symp Proc · Jan 2010
Emergency medical services: the frontier in health information exchange.
Emergency medical service (EMS) providers routinely lack even basic access to pre-existing patient information when delivering patient care in the field. Improving access to pre-existing patient information could improve the quality, safety and efficiency of care that they can deliver. ⋯ Over a six month study period, there were 28,986 911 calls to EMS, with 4,332 (16%) requests for patient data. Of the 58 medics surveyed, a substantial majority felt the information delivered was an important tool for delivering quality patient care.
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Ontologies establish relationships between different terms, yet their potential in querying has not yet been fully realized. In this paper, we study the problem of ontology-supported profile-based retrieval of medical records. We present an algorithm that provides two independent techniques (used in isolation or in unison) to address the shortcomings of existing keyword-based retrieval solutions, and provide an implementation and experiments to illustrate the merits of our approach.
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AMIA Annu Symp Proc · Jan 2009
The cognitive basis of effective team performance: features of failure and success in simulated cardiac resuscitation.
Despite a body of research on teams in other fields relatively little is known about measuring teamwork in healthcare. The aim of this study is to characterize the qualitative dimensions of team performance during cardiac resuscitation that results in good and bad outcomes. ⋯ Results suggest that deviation from the sequence suggested by the ACLS protocol had no impact on the outcome as the successful team deviated more from this sequence than the unsuccessful team. It isn't the deviation from the protocol per se that appears to be important, but how the leadership flexibly adapts to the situational changes with deviations is the crucial factor in team competency.
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AMIA Annu Symp Proc · Jan 2009
Care coordination and electronic health records: connecting clinicians.
To examine the association between use of electronic health records (EHR) and care coordination. ⋯ EHR use is associated with aspects of care coordination involving information transfer and communication of treatment goals.