AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
-
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.
-
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.
-
AMIA Annu Symp Proc · Jan 2008
Automatic pre-hospital vital signs waveform and trend data capture fills quality management, triage and outcome prediction gaps.
Trauma Triage errors are frequent and costly. What happens in pre-hospital care remains anecdotal because of the dual responsibility of treatment (resuscitation and stabilization) and documentation in a time-critical environment. ⋯ Automated means of data collection introduced the potential for more accurate and objective reporting of patient vital signs helping in evaluating quality of care and establishing performance indicators and benchmarks. Addition of novel and existing non-invasive monitors and waveform analyses could make the pulse oximeter the decision aid of choice to improve trauma patient triage.
-
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.
-
AMIA Annu Symp Proc · Jan 2008
Promoting adherence to ventilator management and ventilator weaning protocols.
Studies have shown that ventilator weaning protocols have resulted in a reduction in duration of mechanical ventilation, ventilator-associated pneumonia, and the rate of re-intubation when compared to weaning directed by a physician. This project continuously monitors weaning status and provides feedback on each patients status. The specific aim of this project is to improve the adherence to ventilator management and ventilator weaning protocols.