AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
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AMIA Annu Symp Proc · Jan 2008
Comparative StudyPhysicians' attitudes towards copy and pasting in electronic note writing.
The ability to copy and paste text within computerized physician documentation facilitates electronic note writing but may affect the quality of physician notes and patient care. Little is known about physicians' collective experience with the copy and paste function (CPF). We surveyed resident and faculty physicians within two affiliated academic medical centers in order to describe physicians' CPF use, perceptions of its impact on notes and patient care, and opinions regarding its future use.
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AMIA Annu Symp Proc · Jan 2008
Designing and testing computer based screening engine for severe sepsis/septic shock.
This study addresses the role of a sepsis "sniffer", an automatic screening tool for the timely identification of patients with severe sepsis/septic shock, based electronic medical records. During the two months prospective implementation in a medical intensive care unit, 37 of 320 consecutive patients developed severe sepsis/septic shock. The sniffer demonstrated a sensitivity of 48% and specificity of 86%, and positive predictive value 32%. Further improvements are needed prior to the implementation of sepsis sniffer in clinical practice and research.
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AMIA Annu Symp Proc · Jan 2008
Comparative StudyEvaluation and comparison of IV insulin-treatment protocols using data from critically ill patients in the ICU.
In critically ill patients control of blood sugar levels with IV insulin has been shown to improve clinical outcomes in the intensive care units. We have developed an analytical framework with which to evaluate and compare IV insulin-treatment models and protocols. Performance of the analytical framework is demonstrated using protocols published by others and new protocols under development by our group.
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AMIA Annu Symp Proc · Jan 2008
A system to improve medication safety in the setting of acute kidney injury: initial provider response.
Clinical decision support systems can decrease common errors related to inappropriate or excessive dosing for nephrotoxic or renally cleared drugs. We developed a comprehensive medication safety intervention with varying levels of workflow intrusiveness within computerized provider order entry to continuously monitor for and alert providers about early-onset acute kidney injury. Initial provider response to the interventions shows potential success in improving medication safety and suggests future enhancements to increase effectiveness.
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AMIA Annu Symp Proc · Jan 2008
A regional health information exchange: architecture and implementation.
The MidSouth eHealth Alliances health information exchange in Memphis, Tennessee provides access to data on almost 1 million individuals. The effort is the product of a comprehensive, integrated approach to technology and policy that emphasizes patient-centered use, low-cost, flexibility, and rigorous privacy and confidentiality policies and practices It is used in emergency departments and other major clinical settings. This paper provides a high-level overview of the system and its use. The early anecdotal success of this effort and preliminary formal clinical and financial evaluation suggest that health information exchanges can improve care at relatively low cost.