BMC Med Inform Decis Mak - Event-based knowledge elicitation of operating room management decision-making using scenarios adapted from information systems data.

Tópicos

{ decis(3086) make(1611) patient(1517) }
{ perform(1367) use(1326) method(1137) }
{ care(1570) inform(1187) nurs(1089) }
{ data(1737) use(1416) pattern(1282) }
{ perform(999) metric(946) measur(919) }
{ health(3367) inform(1360) care(1135) }
{ framework(1458) process(801) describ(734) }
{ patient(2837) hospit(1953) medic(668) }
{ use(976) code(926) identifi(902) }
{ method(2212) result(1239) propos(1039) }
{ learn(2355) train(1041) set(1003) }
{ extract(1171) text(1153) clinic(932) }
{ survey(1388) particip(1329) question(1065) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ problem(2511) optim(1539) algorithm(950) }
{ system(1976) rule(880) can(841) }
{ take(945) account(800) differ(722) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ data(2317) use(1299) case(1017) }
{ motion(1329) object(1292) video(1091) }
{ chang(1828) time(1643) increas(1301) }
{ case(1353) use(1143) diagnosi(1136) }
{ visual(1396) interact(850) tool(830) }
{ data(3008) multipl(1320) sourc(1022) }
{ activ(1452) weight(1219) physic(1104) }
{ network(2748) neural(1063) input(814) }
{ patient(2315) diseas(1263) diabet(1191) }
{ treatment(1704) effect(941) patient(846) }
{ clinic(1479) use(1117) guidelin(835) }
{ data(1714) softwar(1251) tool(1186) }
{ model(2220) cell(1177) simul(1124) }
{ general(901) number(790) one(736) }
{ featur(1941) imag(1645) propos(1176) }
{ howev(809) still(633) remain(590) }
{ blood(1257) pressur(1144) flow(957) }
{ research(1218) medic(880) student(794) }
{ model(2656) set(1616) predict(1553) }
{ signal(2180) analysi(812) frequenc(800) }
{ high(1669) rate(1365) level(1280) }
{ result(1111) use(1088) new(759) }
{ process(1125) use(805) approach(778) }
{ detect(2391) sensit(1101) algorithm(908) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ inform(2794) health(2639) internet(1427) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ imag(2675) segment(2577) method(1081) }
{ studi(2440) review(1878) systemat(933) }
{ assess(1506) score(1403) qualiti(1306) }
{ error(1145) method(1030) estim(1020) }
{ concept(1167) ontolog(924) domain(897) }
{ algorithm(1844) comput(1787) effici(935) }
{ method(1557) propos(1049) approach(1037) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1410) differ(1259) use(1210) }
{ risk(3053) factor(974) diseas(938) }
{ research(1085) discuss(1038) issu(1018) }
{ system(1050) medic(1026) inform(1018) }
{ import(1318) role(1303) understand(862) }
{ model(2341) predict(2261) use(1141) }
{ compound(1573) activ(1297) structur(1058) }
{ studi(1119) effect(1106) posit(819) }
{ spatial(1525) area(1432) region(1030) }
{ record(1888) medic(1808) patient(1693) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ ehr(2073) health(1662) electron(1139) }
{ state(1844) use(1261) util(961) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ cancer(2502) breast(956) screen(824) }
{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
{ implement(1333) system(1263) develop(1122) }
{ estim(2440) model(1874) function(577) }
{ method(1969) cluster(1462) data(1082) }

Resumo

CKGROUND: No systematic process has previously been described for a needs assessment that identifies the operating room (OR) management decisions made by the anesthesiologists and nurse managers at a facility that do not maximize the efficiency of use of OR time. We evaluated whether event-based knowledge elicitation can be used practically for rapid assessment of OR management decision-making at facilities, whether scenarios can be adapted automatically from information systems data, and the usefulness of the approach.METHODS: A process of event-based knowledge elicitation was developed to assess OR management decision-making that may reduce the efficiency of use of OR time. Hypothetical scenarios addressing every OR management decision influencing OR efficiency were created from published examples. Scenarios are adapted, so that cues about conditions are accurate and appropriate for each facility (e.g., if OR 1 is used as an example in a scenario, the listed procedure is a type of procedure performed at the facility in OR 1). Adaptation is performed automatically using the facility's OR information system or anesthesia information management system (AIMS) data for most scenarios (43 of 45). Performing the needs assessment takes approximately 1 hour of local managers' time while they decide if their decisions are consistent with the described scenarios. A table of contents of the indexed scenarios is created automatically, providing a simple version of problem solving using case-based reasoning. For example, a new OR manager wanting to know the best way to decide whether to move a case can look in the chapter on "Moving Cases on the Day of Surgery" to find a scenario that describes the situation being encountered.RESULTS: Scenarios have been adapted and used at 22 hospitals. Few changes in decisions were needed to increase the efficiency of use of OR time. The few changes were heterogeneous among hospitals, showing the usefulness of individualized assessments.CONCLUSIONS: Our technical advance is the development and use of automated event-based knowledge elicitation to identify suboptimal OR management decisions that decrease the efficiency of use of OR time. The adapted scenarios can be used in future decision-making.

Resumo Limpo

ckground systemat process previous describ need assess identifi oper room manag decis made anesthesiologist nurs manag facil maxim effici use time evalu whether eventbas knowledg elicit can use practic rapid assess manag decisionmak facil whether scenario can adapt automat inform system data use approachmethod process eventbas knowledg elicit develop assess manag decisionmak may reduc effici use time hypothet scenario address everi manag decis influenc effici creat publish exampl scenario adapt cue condit accur appropri facil eg use exampl scenario list procedur type procedur perform facil adapt perform automat use facil inform system anesthesia inform manag system aim data scenario perform need assess take approxim hour local manag time decid decis consist describ scenario tabl content index scenario creat automat provid simpl version problem solv use casebas reason exampl new manag want know best way decid whether move case can look chapter move case day surgeri find scenario describ situat encounteredresult scenario adapt use hospit chang decis need increas effici use time chang heterogen among hospit show use individu assessmentsconclus technic advanc develop use autom eventbas knowledg elicit identifi suboptim manag decis decreas effici use time adapt scenario can use futur decisionmak

Resumos Similares

Med Decis Making - Content coding for contextualization of care: evaluating physician performance at patient-centered decision making. ( 0,733710738809351 )
BMC Med Inform Decis Mak - Development and initial evaluation of a treatment decision dashboard. ( 0,72525465500639 )
BMC Med Inform Decis Mak - Developing and user-testing Decision boxes to facilitate shared decision making in primary care--a study protocol. ( 0,722497767587529 )
BMC Med Inform Decis Mak - The design of a low literacy decision aid about rheumatoid arthritis medications developed in three languages for use during the clinical encounter. ( 0,718982370953231 )
BMC Med Inform Decis Mak - Basing information on comprehensive, critically appraised, and up-to-date syntheses of the scientific evidence: a quality dimension of the International Patient Decision Aid Standards. ( 0,710284044551479 )
BMC Med Inform Decis Mak - Refining a brief decision aid in stable CAD: cognitive interviews. ( 0,707947394294288 )
AMIA Annu Symp Proc - Revisiting the EBM decision model to formalize non-compliance with computerized CPGs: results in the management of breast cancer with OncoDoc2. ( 0,706987627824769 )
AMIA Annu Symp Proc - Supporting shared decision making within the MobiGuide project. ( 0,700108318423807 )
Med Decis Making - Theoretical foundation of patient v. population preferences in calculating QALYs. ( 0,688434923685828 )
BMC Med Inform Decis Mak - Data mining of audiology patient records: factors influencing the choice of hearing aid type. ( 0,685089537926556 )
AMIA Annu Symp Proc - An information-centric framework for designing patient-centered medical decision aids and risk communication. ( 0,676964397809144 )
J Med Syst - VIKOR method with enhanced accuracy for multiple criteria decision making in healthcare management. ( 0,67370925715228 )
AMIA Annu Symp Proc - Patient clinical profiles associated with physician non-compliance despite the use of a guideline-based decision support system: a case study with OncoDoc2 using data mining techniques. ( 0,673280861800055 )
BMC Med Inform Decis Mak - Clarifying values: an updated review. ( 0,670873487764806 )
J Biomed Inform - Opportunistic decision making and complexity in emergency care. ( 0,670178488047834 )
Med Decis Making - Investing in deliberation: a definition and classification of decision support interventions for people facing difficult health decisions. ( 0,667790595443519 )
BMC Med Inform Decis Mak - Genders of patients and clinicians and their effect on shared decision making: a participant-level meta-analysis. ( 0,667116178173997 )
J. Med. Internet Res. - A web-based tool to support shared decision making for people with a psychotic disorder: randomized controlled trial and process evaluation. ( 0,665801493877765 )
BMC Med Inform Decis Mak - Barriers and facilitators to implementing Decision Boxes in primary healthcare teams to facilitate shared decisionmaking: a study protocol. ( 0,66513656332248 )
Comput Methods Programs Biomed - AngioLab--a software tool for morphological analysis and endovascular treatment planning of intracranial aneurysms. ( 0,661587106661049 )
BMC Med Inform Decis Mak - Development of a tool to improve the quality of decision making in atrial fibrillation. ( 0,661375671319291 )
J Am Med Inform Assoc - Workshop on using natural language processing applications for enhancing clinical decision making: an executive summary. ( 0,66032689826916 )
Med Decis Making - Decision coaching to prepare patients for making health decisions: a systematic review of decision coaching in trials of patient decision AIDS. ( 0,656925043124247 )
Med Decis Making - Contributions of Second Opinions, Outcome Forecasts, and Testimonials to Patient Decisions about Knee Replacement Surgery. ( 0,652965604619332 )
Healthc (Amst) - Incentivizing shared decision making in the USA--where are we now? ( 0,650593321850747 )
J Med Syst - Development of a decision support engine to assist patients with hospital selection. ( 0,646681394892565 )
Med Decis Making - What is known about parents' treatment decisions? A narrative review of pediatric decision making. ( 0,639307018709799 )
Med Decis Making - Are medical outcomes fungible? A survey of voters, medical administrators, and physicians. ( 0,638363965251731 )
Med Decis Making - The context of available options affects health care decisions: a generalization study. ( 0,638036529686723 )
Int J Med Inform - Electre Tri-C, a multiple criteria decision aiding sorting model applied to assisted reproduction. ( 0,637890964890685 )
Med Decis Making - Preferences and perceived involvement in treatment decision making among Chinese patients with chronic hepatitis. ( 0,637231071119366 )
BMC Med Inform Decis Mak - Launching a virtual decision lab: development and field-testing of a web-based patient decision support research platform. ( 0,636222623024404 )
J Biomed Inform - Discovery of clinical pathway patterns from event logs using probabilistic topic models. ( 0,634241883180532 )
Med Decis Making - All stories are not alike: a purpose-, content-, and valence-based taxonomy of patient narratives in decision aids. ( 0,63366063562637 )
BMC Med Inform Decis Mak - Visual AIDS for multimodal treatment options to support decision making of patients with colorectal cancer. ( 0,633577059689398 )
BMC Med Inform Decis Mak - Delivering patient decision aids on the Internet: definitions, theories, current evidence, and emerging research areas. ( 0,630729161297083 )
BMC Med Inform Decis Mak - A randomized study of telephonic care support in populations at risk for musculoskeletal preference-sensitive surgeries. ( 0,630204534368761 )
Med Decis Making - When decisions should be shared: a study of social norms in medical decision making using a factorial survey approach. ( 0,629197788500843 )
Int J Med Inform - Pharmacist-conducted medication reconciliation at hospital admission using information technology in Taiwan. ( 0,626532864289169 )
AMIA Annu Symp Proc - Role of physicians' reactance in e-iatrogenesis: a case study with ASTI guiding mode on the management of hypertension. ( 0,625673520209408 )
BMC Med Inform Decis Mak - A qualitative study of professional and client perspectives on information flows and decision aid use. ( 0,625123288724308 )
Med Decis Making - A model to support shared decision making in electronic health records systems. ( 0,623490647061251 )
Med Decis Making - Breast cancer patients' treatment expectations after exposure to the decision aid program adjuvant online: the influence of numeracy. ( 0,622196215355029 )
Med Decis Making - Framing Options as Choice or Opportunity: Does the Frame Influence Decisions? ( 0,621831470729839 )
J Med Syst - Comparison of AI techniques for prediction of liver fibrosis in hepatitis patients. ( 0,621656146558173 )
Artif Intell Med - From decision to shared-decision: Introducing patients' preferences into clinical decision analysis. ( 0,619970804256238 )
Med Decis Making - Perceptions of shared decision making and decision aids among rural primary care clinicians. ( 0,618932188223815 )
BMC Med Inform Decis Mak - Congruence between patients' preferred and perceived participation in medical decision-making: a review of the literature. ( 0,618174774095249 )
J. Med. Internet Res. - Cool but counterproductive: interactive, Web-based risk communications can backfire. ( 0,617442875406624 )
BMC Med Inform Decis Mak - Risk assessment and decision making about in-labour transfer from rural maternity care: a social judgment and signal detection analysis. ( 0,616260715767576 )
J Med Syst - Designing an architectural style for dynamic medical Cross-Organizational Workflow management system: an approach based on agents and web services. ( 0,615075180405809 )
BMC Med Inform Decis Mak - A regret theory approach to decision curve analysis: a novel method for eliciting decision makers' preferences and decision-making. ( 0,613778004244364 )
J Telemed Telecare - Approaches to economic evaluation in telemedicine. ( 0,612193627945403 )
BMC Med Inform Decis Mak - Disclosing conflicts of interest in patient decision aids. ( 0,611947358910918 )
BMC Med Inform Decis Mak - Assessing the information desire of patients with advanced cancer by providing information with a decision aid, which is evaluated in a randomized trial: a study protocol. ( 0,61024296224224 )
J Med Syst - The reliability of an epilepsy treatment clinical decision support system. ( 0,605834221616703 )
Int J Health Geogr - Mass casualty modelling: a spatial tool to support triage decision making. ( 0,591281577569203 )
Med Decis Making - Adherence and decision AIDS: a model and a narrative review. ( 0,591065406559936 )
Med Decis Making - Choice set size and decision making: the case of Medicare Part D prescription drug plans. ( 0,590638788933324 )
Appl Clin Inform - A retrospective analysis of interruptive versus non-interruptive clinical decision support for identification of patients needing contact isolation. ( 0,590099383519732 )
IEEE J Biomed Health Inform - Leveraging social supports for improving personal expertise on ACL reconstruction and rehabilitation. ( 0,586345609632797 )
BMC Med Inform Decis Mak - Shared decision-making and health for First Nations, M?tis and Inuit women: a study protocol. ( 0,585844827659278 )
J Am Med Inform Assoc - A clinical decision support needs assessment of community-based physicians. ( 0,583676354456724 )
J. Med. Internet Res. - Assessing the acceptability and usability of an interactive serious game in aiding treatment decisions for patients with localized prostate cancer. ( 0,583085132447406 )
Med Decis Making - The impact of a novel computer-based decision aid on shared decision making for colorectal cancer screening: a randomized trial. ( 0,582342495873285 )
BMC Med Inform Decis Mak - A genetic fuzzy system for unstable angina risk assessment. ( 0,581622295132363 )
J Am Med Inform Assoc - Imaging informatics for consumer health: towards a radiology patient portal. ( 0,580626302591511 )
Med Decis Making - Expected net present value of sample information: from burden to investment. ( 0,579886039378613 )
Int J Med Inform - Online usability and patients with long-term conditions: a mixed-methods approach. ( 0,579189698008124 )
Med Decis Making - Participation of very old adults in health care decisions. ( 0,578896870024454 )
Comput Methods Programs Biomed - Implementation and evaluation of an Asbru-based decision support system for adjuvant treatment in breast cancer. ( 0,578753588691546 )
Int J Med Inform - Design of decision support interventions for medication prescribing. ( 0,57548349466148 )
BMC Med Inform Decis Mak - Extensions to regret-based decision curve analysis: an application to hospice referral for terminal patients. ( 0,575468503039129 )
AMIA Annu Symp Proc - Sim?TwentyFive: an interactive visualization system for data-driven decision support. ( 0,575365673601345 )
Med Decis Making - Interpreting patient decisional conflict scores: behavior and emotions in decisions about treatment. ( 0,573517657435125 )
BMC Med Inform Decis Mak - Do personal stories make patient decision aids more effective? A critical review of theory and evidence. ( 0,572602925579991 )
J Biomed Inform - Evolutionary strategy to develop learning-based decision systems. Application to breast cancer and liver fibrosis stadialization. ( 0,572189068479968 )
Comput Methods Programs Biomed - Machine learning-based assessment tool for imbalance and vestibular dysfunction with virtual reality rehabilitation system. ( 0,572085989133531 )
AMIA Annu Symp Proc - Auditing medical records accesses via healthcare interaction networks. ( 0,571983682213496 )
AMIA Annu Symp Proc - Using design principles to foster understanding of complex health concepts in consumer informatics tools. ( 0,571071678206168 )
Int J Med Inform - Designing for collaborative interpretation in telemonitoring: re-introducing patients as diagnostic agents. ( 0,570160779166031 )
AMIA Annu Symp Proc - A method to compute treatment suggestions from local order entry data. ( 0,569829532501999 )
J Am Med Inform Assoc - Patient-initiated electronic health record amendment requests. ( 0,569810282479782 )
BMC Med Inform Decis Mak - Development and pilot testing of an online case-based approach to shared decision making skills training for clinicians. ( 0,568846595494867 )
BMC Med Inform Decis Mak - Presenting quantitative information about decision outcomes: a risk communication primer for patient decision aid developers. ( 0,568813783137564 )
BMC Med Inform Decis Mak - Coaching and guidance with patient decision aids: A review of theoretical and empirical evidence. ( 0,565255696434753 )
Med Decis Making - Why do patients derogate physicians who use a computer-based diagnostic support system? ( 0,564504460041822 )
J Biomed Inform - A text processing pipeline to extract recommendations from radiology reports. ( 0,563539351497422 )
BMC Med Inform Decis Mak - User needs elicitation via analytic hierarchy process (AHP). A case study on a Computed Tomography (CT) scanner. ( 0,563458499054282 )
Med Decis Making - Germs are germs, and why not take a risk? Patients' expectations for prescribing antibiotics in an inner-city emergency department. ( 0,562442724931732 )
J. Med. Internet Res. - Supporting informed decision making online in 20 minutes: an observational web-log study of a PSA test decision aid. ( 0,559595237622262 )
Comput. Biol. Med. - A computerized decision support system to predict the variations in the cerebral blood flow of mechanically ventilated infants. ( 0,558712608883813 )
J Biomed Inform - Intra-operative decision making: more than meets the eye. ( 0,557327667091364 )
Med Decis Making - The DECISIONS study: a nationwide survey of United States adults regarding 9 common medical decisions. ( 0,557014413987338 )
BMC Med Inform Decis Mak - Decision aids for respite service choices by carers of people with dementia: development and pilot RCT. ( 0,556709237908069 )
Med Decis Making - What makes a tumor diagnosis a call to action? On the preference for action versus inaction. ( 0,554774033190112 )
BMC Med Inform Decis Mak - Incorporating patient and family preferences into evidence-based medicine. ( 0,554625466549882 )
Med Decis Making - Societal preferences for distributive justice in the allocation of health care resources: a latent class discrete choice experiment. ( 0,553473008649751 )
Med Decis Making - Cost-effectiveness on a local level: whether and when to adopt a new technology. ( 0,552960707790159 )
J Med Syst - Mining medical data: a case study of endometriosis. ( 0,552742621826415 )