AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
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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 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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Timely pre-hospital management of snake bite and poisoning cases is hindered by the lack of information about availability of antidotes in hospitals. We aim to build a regional antidote database by collecting real-time antidote stock information from hospital pharmacy inventory systems and make this information available to the emergency medical technicians (EMTs). This would save valuable time, leading to improved outcomes for the patients.
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The Advanced Health and Disaster Aid Network (AID-N) project seeks to identify unmet needs of emergency response teams in the Washington, DC area during mass casualty incidents and conduct feasibility tests of technology-based solutions. The decentralized electronic triage and sensing system uses low power, electronic triage sensors to monitor the vital signs of patients and provide location tracking capabilities. ⋯ A field study demonstrates the process of current emergency procedures and the design implications of the prototype. This field study, along with the hardware and software architecture of the electronic triage system, lay the foundation for a reliable, decentralized sensor deployment that will continuously extend network coverage during a mass casualty incident.
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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.