AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
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AMIA Annu Symp Proc · Jan 2006
Developing an intelligent phone-based emergency triage communication and support system.
In this study, the emergency triage support system was taken as an example. We develop new call flow style and combine traditional passive call flow. ⋯ Then the recognition term come from voice term database. Voice management center is an ER triage decision system.
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AMIA Annu Symp Proc · Jan 2006
Randomized Controlled TrialA computerized decision support system improves the accuracy of temperature capture from nursing personnel at the bedside.
To assess the effect of a computerized decision support system (CDSS) on the accuracy of patient temperature recording at the bed side. ⋯ CDSS are effective with nursing personnel in improving the accuracy of temperature capture at the bedside.
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AMIA Annu Symp Proc · Jan 2006
An early warning system for overcrowding in the emergency department.
Overcrowding of emergency departments impedes health care access and quality nationwide. A real-time early warning system for overcrowding may allow administrators to alleviate the problem before reaching a crisis state. Two original probabilistic models - a logistic regression and a recurrent neural network - were created to predict overcrowding crises one hour in the future. ⋯ All models showed high discriminatory ability in terms of area under the receiver operating characteristic curve (logistic regression = .954; recurrent neural network = .957; EDWIN = .879; NEDOCS = .924). At comparable rates of false alarms, the logistic regression gave more advance notice of crises than other models (logistic regression = 62 min; recurrent neural network = 13 min; EDWIN = 0 min; NEDOCS = 0 min). These results demonstrate the feasibility of using models based on key operational variables to anticipate overcrowding crises in real time.
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AMIA Annu Symp Proc · Jan 2006
Comparative StudyThe effects of Computerized Provider Order Entry on medication turn-around time: a time-to-first dose study at the Providence Portland Medical Center.
As the Providence Health System is phasing in its Computerized Provider Order Entry (CPOE) system at the Providence Portland Medical Center, we conducted a study to demonstrate the effects of CPOE on medication turn-around time. Retrospectively, we tracked and compared medication orders that were placed via the existing paper-based system and the CPOE system. The results of this study coincide with, and confirm, previous research that has been performed at large academic medical centers.
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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.