AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
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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
The Acute Respiratory Infection Quality Dashboard: a performance measurement reporting tool in an electronic health record.
Quality reporting tools, integrated with electronic health records, can help clinicians understand performance, manage populations, and improve quality. The Acute Respiratory Infection Quality Dashboard (ARI QD) for LMR users is a secure web report for performance measurement of an acute condition delivered through a central data warehouse and custom-built reporting tool. Pilot evaluation of the ARI QD indicates that clinicians prefer a quality report that combines not only structured data regarding diagnosis and antibiotic prescribing rates entered into EHRs but one that also shows billing data. The ARI QD has the potential to reduce inappropriate antibiotic prescribing for ARIs.
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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 2006
Prospective evaluation of a closed-loop, computerized reminder system for pneumococcal vaccination in the emergency department.
The Emergency Department is a suitable but challenging environment to implement a sustainable pneumococcal vaccination program. To increase vaccination rates for patients > or equal to 65 years old, we prospectively evaluated a closed-loop informatics approach over a 6-week study period. Among the 572 candidate patients, 284 were up-to-date with vaccination, 187 patients refused vaccination, 65 physicians declined to order the vaccine, and 28 patients received the vaccine during the ED visit. The informatics approach increased vaccination rate from a baseline of 49.8% to 54.9% (p < 0.01).
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AMIA Annu Symp Proc · Jan 2006
Comparative StudyEvaluating the safety and efficiency of a CPOE system for continuous medication infusions in a pediatric ICU.
Critically ill children often require continuous intravenous infusions of life-supporting medications. The complexity of ordering such infusions makes this an error prone process, and such errors can result in serious adverse events. A CPOE system was developed and evaluated to assess its impact on the safety and efficiency of prescribing continuous medication infusions.