AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
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AMIA Annu Symp Proc · Jan 2007
A computing platform to support communication and sense-making in intensive care.
We developed a conceptual design of a mobile computing platform to support multi-disciplinary rounds in intensive care units.
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Maintaining critically-ill patients' blood glucose levels within the normoglycemic range has been shown to reduce mortality and morbidity, but it has not been achieved consistently using existing insulin infusion protocols. This study examines blood glucose monitoring in an intensive care unit (ICU) and how blood glucose levels change in response to therapy. Our findings confirm the commonly observed poor compliance of blood glucose levels and motivate for more effective glycemic control.
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AMIA Annu Symp Proc · Jan 2007
Encouraging change in anesthesiology practice through electronic feedback to physicians: results from prototype system.
Implementation of best care practices is difficult because the status quo is often perpetuated; many providers treat patients based on anecdotal experience rather than evidence-based medicine. Our goal was to develop and evaluate an electronic feedback system that feeds back practice and outcome data combined with educational material to anesthesiologists. Best care practices for postoperative nausea/vomiting (PONV) control were selected to evaluate this system because PONV is a common outcome and guidelines have been published.
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AMIA Annu Symp Proc · Jan 2007
Visualizing temporal patterns of demand, throughput and crowding in an emergency department.
Emergency department (ED) operational data were calculated at 10-minute intervals throughout 2006 (n = 52561) in the adult ED of an academic medical center. Several operational parameters per observation were measured to better understand temporal patterns of input, throughput, and output of medical services. This may allow for improvement of predictive models of overcrowding. Visualization of this dataset is structured by a calendar template, facilitating discovery of cyclic patterns at diurnal, weekly, and monthly scales.
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AMIA Annu Symp Proc · Jan 2007
The effect of implementing computerized provider order entry on medication prescribing errors in an emergency department.
Medication errors are a major concern in the Emergency Department (ED). We examined medication prescribing errors among consecutive adult ED patients during two 10-day periods before and during one 9-day period after implementing computerized provider order entry in an adult ED. 2,073 patients had 5,950, orders. Before (after) implementation there were 3.7 (2.8) potential adverse drug events, 222.0 (21.0) medication prescribing errors, and 5.1 (0) rule violations per 100 orders.