AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
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Maintaining critically-ill patients' blood glucose levels within the normoglycemic range has been shown to reduce mortality and morbidity, but it has not been achieved consistently using existing insulin infusion protocols. This study examines blood glucose monitoring in an intensive care unit (ICU) and how blood glucose levels change in response to therapy. Our findings confirm the commonly observed poor compliance of blood glucose levels and motivate for more effective glycemic control.
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AMIA Annu Symp Proc · Jan 2007
Physicians value patient review of their electronic health record data as a means to improve accuracy of medication list documentation.
Providers place great value on their patients as sources of clinical information. Patient access to and review of their medication list from their electronic health record prior to a visit may improve the accuracy of medication documentation.
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AMIA Annu Symp Proc · Jan 2007
Visualizing temporal patterns of demand, throughput and crowding in an emergency department.
Emergency department (ED) operational data were calculated at 10-minute intervals throughout 2006 (n = 52561) in the adult ED of an academic medical center. Several operational parameters per observation were measured to better understand temporal patterns of input, throughput, and output of medical services. This may allow for improvement of predictive models of overcrowding. Visualization of this dataset is structured by a calendar template, facilitating discovery of cyclic patterns at diurnal, weekly, and monthly scales.
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AMIA Annu Symp Proc · Jan 2006
ReviewDeterminants of success for computerized clinical decision support systems integrated in CPOE systems: a systematic review.
We carried out a systematic review of published trials to identify the methodological characteristics of studies and technical characteristics of computerized clinical decision support systems (CCDSSs) associated with efficacy for the main outcome of the study. Four characteristics of the content of decision support and the way in which the user is provided with assistance seem to be associated with the success of CCDSSs: a) System-initiated interventions, b) Assistance without user control over output, c) Systems in which data are automatically retrieved from the electronic medical record and d) Systems providing corollary actions in CPOE. Major differences in outcome reporting between studies could be reduced by the use of dedicated tools to standardize methodological reporting.
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AMIA Annu Symp Proc · Jan 2006
Randomized Controlled Trial Comparative StudyEffect of e-mail versus postal reminders for mammogram screening.
A randomized controlled trial was undertaken to measure the efficacy of a patient reminder system for females age 40 - 75 in a Midwestern primary care practice. A subset of the population whose email addresses were known was further randomized to measure the effect of email versus postal reminders. A statistically significant increase in completion rates was observed in the intervention group while no difference was found between the email and postal mail groups.