AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
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The Family History Ontology formalizes nursing conceptualization about family and family history. Traditional methods of instance testing were applied to evaluate the completeness of the ontology and demonstrated favorable domain coverage. Testing also revealed a need for a new category of instance test results, "by inference", for data that can be represented through the use of inference rules associated with the ontology rather than requiring direct manual entry.
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AMIA Annu Symp Proc · Nov 2008
Application of statistical process control methods to monitor guideline adherence: a case study.
Control charts are tools from the field of statistical process control for visualizing the longitudinal development of quality indicators, and detecting whether the underlying process is changing. They have been used in critical care and disease management settings to monitor and improve patient outcomes. This paper investigates the application of control charts to monitor adherence to clinical practice guidelines by healthcare professionals. ⋯ Guideline adherence increased in clinics that started using decision support. A gradual drop in adherence was seen in clinics that continued using decision support over a longer period. Control charts are more sensitive to detect changes in adherence than summary comparisons in before-after designs.
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AMIA Annu Symp Proc · Nov 2008
Medical exceptions to decision support: a tool to identify provider misconceptions and direct academic detailing.
Clinical decision support can be used to capture the medical exceptions that justify deviations from guideline-based care. Peer review of this data is a potentially valuable and efficient means of identifying physician misconceptions or gaps in the medical knowledge base. Our early experience performing peer review on medical exceptions recorded through computerized point-of-care alerts shows that most medical exceptions were legitimate. Twelve percent of exceptions were inappropriate and 10% involved areas of considerable medical uncertainty.
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The University of the Philippines College of Nursing curriculum has been the foundation of most of the curriculum in the country. But such is inferior with the current global health care delivery system. With Telehealth as the current program launched as an alternative medium to address health-care needs in geographically isolated areas through the use of ICT, nurses provide care for populations through electronic communication media and act as triage nurses who advise/consult with patients.
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AMIA Annu Symp Proc · Jan 2008
Automatic pre-hospital vital signs waveform and trend data capture fills quality management, triage and outcome prediction gaps.
Trauma Triage errors are frequent and costly. What happens in pre-hospital care remains anecdotal because of the dual responsibility of treatment (resuscitation and stabilization) and documentation in a time-critical environment. ⋯ Automated means of data collection introduced the potential for more accurate and objective reporting of patient vital signs helping in evaluating quality of care and establishing performance indicators and benchmarks. Addition of novel and existing non-invasive monitors and waveform analyses could make the pulse oximeter the decision aid of choice to improve trauma patient triage.