Studies in health technology and informatics
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Stud Health Technol Inform · Jan 2009
Intensive care admission and discharge - critical decision-making points.
Delivery of intensive care has many critical points impacting the outcomes of critically ill patients. Two important key events in intensive care are patients' admission and discharge procedures. ⋯ To reveal the complex decision-making, we studied the decision-making processes and information needs of intensive care charge nurses during patients' admission and discharge procedures. We identified several interconnected decision-making steps during these procedures.
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Stud Health Technol Inform · Jan 2009
The expert explorer: a tool for hospital data visualization and adverse drug event rules validation.
An important part of adverse drug events (ADEs) detection is the validation of the clinical cases and the assessment of the decision rules to detect ADEs. For that purpose, a software called "Expert Explorer" has been designed by Ideea Advertising. ⋯ Experts can then review the rules, the hospital stays that match the rules, and finally give their advice thanks to specialized forms. Then the rules can be validated, invalidated, or improved (knowledge elicitation phase).
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Stud Health Technol Inform · Jan 2009
Endotracheal intubation comparing a prototype Storz CMAC and a glidescope videolaryngoscope in a medical transport helicopter - a pilot study.
In this pilot study, experienced medical helicopter personnel evaluated and compared the prototype Storz CMAC and GlideScope (GS) videolaryngoscopes in intubating a Laerdal Difficult Airway Manikin in a helicopter. No significant differences were found between the devices in the standard airway mode with 100% success rates for the intubations. ⋯ The success rate for intubating the difficult airway was 0% with DV; compared to 63% with the CMAC and 50% with the GS (p = 0.03). The participants answered a post study questionnaire regarding the characteristics of the devices and indicated preference for the CMAC over the GS in intubation of the difficult airway.
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An interactive, video game-based training module, Burn Center, was developed to simulate the real-life emergency events of a mass casualty disaster scenario, involving in 40 victims. The game contains two components - triage and resuscitation. ⋯ After complete the triage component, the player will then take on the role of a burn care provider, balancing the clinical needs of multiple burn patients through a 36-hour resuscitation period, using familiar computer-simulated hospital devices. Once complete, players of Burn Center will come away with applicable skills and knowledge of burn care, for both field triage and initial resuscitation of the burn patients.
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Stud Health Technol Inform · Jan 2009
Embedding oncologic protocols into the provision of care: the Oncocure project.
A computerized Decision Support System (CDSS) can improve the adherence of the clinicians to clinical guidelines and protocols. Integrating it within the clinical workflow can reduce the workload of the physicians, and improve the acceptance of the system. ⋯ Our work is not constrained to a specific domain or EPR implementation, but can be generalized to other fields of medicine and patient management systems. When implemented, our CDSS is expected to reduce the cost of care while improving the adherence to the guideline and the quality of the documentation.