AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
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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.
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AMIA Annu Symp Proc · Jan 2008
A web-based biosignal data management system for U-health data integration.
In the ubiquitous healthcare environment, the biosignal data should be easily accessed and properly maintained. This paper describes a web-based data management system. It consists of a device interface, a data upload control, a central repository, and a web server. For the user-specific web services, a MFER Upload ActiveX Control was developed.
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AMIA Annu Symp Proc · Jan 2008
Knowledge translation of SAGE-based guidelines for executing with knowledge engine.
SAGE is very powerful knowledge representation for guideline modeling and well-defined knowledge framework to integrate with terminology standard and EMR databases. Therefore, SAGE can be powerful tool for knowledge authoring for clinicians but guideline execution engine is not available yet. ⋯ In this paper, we suggest knowledge translator to convert SAGE-based guidelines into knowledge which commercial engine can execute. With this translation, we can take both advantages in modeling power of SAGE and interpretation capability of engines.
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AMIA Annu Symp Proc · Jan 2008
Ability to perform registry functions among practices with and without electronic health records.
Patient care registries allow physicians to identify patients based on a subset of conditions, including medicine prescribed, laboratory results and diagnosis. The presence of EHRs and a physician's ability to query across patient medical records is unknown in Massachusetts. A survey was conducted to examine the presence of EHRs in medical practices, and the degree to which EHRs enable physicians to carry out registry functions. EHR adoption was correlated with the use of registry functions.