AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
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AMIA Annu Symp Proc · Jan 2008
Engineering of a clinical decision support framework for the point of care use.
Computerized decision support for use at the point of care has to be comprehensive. It means that clinical information stored in electronic health records needs to be integrated with various forms of clinical knowledge (elicited from experts, discovered from data or summarized in systematic reviews of clinical trials). ⋯ Then we applied the process to build MET-A3Support. The paper describes the engineering process and its results, including models representing selected elements of our framework.
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AMIA Annu Symp Proc · Jan 2008
Clinical trials in silico: rigorous assessment of treatment effect using electronic health records.
With their ability to balance measured and unmeasured confounders, randomized controlled trials (RCTs) provide the highest level of evidence regarding the effect of treatment. Analyses of administrative data have had inconsistent success when compared with the results of RCTs. ⋯ The comprehensive, longitudinal data within Electronic Health Records (EHRs) can overcome the data quality issues. This report describes a new analytical method for EHR data that successfully replicates RCT results.
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AMIA Annu Symp Proc · Jan 2008
Developing a novel Internet-based psychoeducational intervention for dementia caregivers.
DementiaCareCentral.com is a new online intervention for family caregivers of individuals with Alzheimer's disease and other dementias. The website includes a combination of educational information, psychosocial and peer support tools, and interactive resources. The website is being developed with feedback obtained from dementia caregivers in several rounds of needs analysis and usability evaluation.
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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.