Int J Med Inform - A novel method for inferring RFID tag reader recordings into clinical events.


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


CKGROUND: Nosocomial infections (NIs) are among the important indicators used for evaluating patients' safety and hospital performance during accreditation of hospitals. NI rate is higher in Intensive Care Units (ICUs) than in the general wards because patients require intense care involving both invasive and non-invasive clinical procedures. The emergence of Superbugs is motivating health providers to enhance infection control measures. Contact behavior between health caregivers and patients is one of the main causes of cross infections. In this technology driven era remote monitoring of patients and caregivers in the hospital setting can be performed reliably, and thus is in demand. Proximity sensing using radio frequency identification (RFID) technology can be helpful in capturing and keeping track on all contact history between health caregivers and patients for example.OBJECTIVES: This study intended to extend the use of proximity sensing of radio frequency identification technology by proposing a model for inferring RFID tag reader recordings into clinical events. The aims of the study are twofold. The first aim is to set up a Contact History Inferential Model (CHIM) between health caregivers and patients. The second is to verify CHIM with real-time observation done at the ICU ward.METHOD: A pre-study was conducted followed by two study phases. During the pre-study proximity sensing of RFID was tested, and deployment of the RFID in the Clinical Skill Center in one of the medical centers in Taiwan was done. We simulated clinical events and developed CHIM using variables such as duration of time, frequency, and identity (tag) numbers assigned to caregivers. All clinical proximity events are classified into close-in events, contact events and invasive events. During the first phase three observers were recruited to do real time recordings of all clinical events in the Clinical Skill Center with the deployed automated RFID interaction recording system. The observations were used to verify the CHIM recordings. In second phase the first author conducted 40 h of participatory observation in the ICU, and observed values that were used as golden standard to validate CHIM.RESULTS: There were a total of 193 events to validate the CHIM in the second phase. The sensitivity, specificity, and accuracy of close-in events were 73.8%, 83.8%, and 81.6%; contact events were 81.4%, 78.8%, and 80.7%; and invasive events were 90.9%, 98.0%, and 97.5% respectively.CONCLUSION: The results of the study indicated that proximity sensing of the RFID detects proximity events effectively, and the CHIM can infer proximity events accurately. RFID technology can be used for recording complete clinical contact history between caregivers and patients thus assisting in tracing cause of NIs. Since this model could infer the ICU activities accurately, we are convinced that the CHIM can also be applied in other wards and can be used for additional purposes.

Resumo Limpo

ckground nosocomi infect nis among import indic use evalu patient safeti hospit perform accredit hospit ni rate higher intens care unit icus general ward patient requir intens care involv invas noninvas clinic procedur emerg superbug motiv health provid enhanc infect control measur contact behavior health caregiv patient one main caus cross infect technolog driven era remot monitor patient caregiv hospit set can perform reliabl thus demand proxim sens use radio frequenc identif rfid technolog can help captur keep track contact histori health caregiv patient exampleobject studi intend extend use proxim sens radio frequenc identif technolog propos model infer rfid tag reader record clinic event aim studi twofold first aim set contact histori inferenti model chim health caregiv patient second verifi chim realtim observ done icu wardmethod prestudi conduct follow two studi phase prestudi proxim sens rfid test deploy rfid clinic skill center one medic center taiwan done simul clinic event develop chim use variabl durat time frequenc ident tag number assign caregiv clinic proxim event classifi closein event contact event invas event first phase three observ recruit real time record clinic event clinic skill center deploy autom rfid interact record system observ use verifi chim record second phase first author conduct h participatori observ icu observ valu use golden standard valid chimresult total event valid chim second phase sensit specif accuraci closein event contact event invas event respectivelyconclus result studi indic proxim sens rfid detect proxim event effect chim can infer proxim event accur rfid technolog can use record complet clinic contact histori caregiv patient thus assist trace caus nis sinc model infer icu activ accur convinc chim can also appli ward can use addit purpos

Resumos Similares

Comput Methods Programs Biomed - Impact of glucocorticoids on insulin resistance in the critically ill. ( 0,707255516634981 )
Med Decis Making - Are waiting list prioritization guidelines being followed in Australia? ( 0,702317130386204 )
Methods Inf Med - Adaptable healing patient room for stroke patients. A staff evaluation. ( 0,699940213415221 )
J Telemed Telecare - Home-based telemanagement in chronic heart failure: an 8-year single-site experience. ( 0,697002478662217 )
J Med Syst - Time series modelling and forecasting of emergency department overcrowding. ( 0,695591866556485 )
J Am Med Inform Assoc - The potential for community-based health information exchange systems to reduce hospital readmissions. ( 0,6824051724047 )
Healthc (Amst) - Contributors to variation in hospital spending for critically ill patients with sepsis. ( 0,681782420005862 )
J Med Syst - Performance evaluation of medical records departments by analytical hierarchy process (AHP) approach in the selected hospitals in Isfahan : medical records dep. & AHP. ( 0,670210983483797 )
J Clin Monit Comput - The implementation of an Intensive Care Information System allows shortening the ICU length of stay. ( 0,668462859171423 )
BMC Med Inform Decis Mak - Method for Assigning Priority Levels in Acute Care (MAPLe-AC) predicts outcomes of acute hospital care of older persons--a cross-national validation. ( 0,667520091284388 )
BMC Med Inform Decis Mak - Technical support and delegation to practice staff - status quo and (possible) future perspectives for primary health care in Germany. ( 0,665223946793067 )
J Clin Monit Comput - Impact of medical training and clinical experience on the assessment of oxygenation and hypoxaemia after general anaesthesia: an observational study. ( 0,664871701800014 )
J Am Med Inform Assoc - Mining high-dimensional administrative claims data to predict early hospital readmissions. ( 0,659405100357188 )
J Clin Monit Comput - Monitoring of intense neuromuscular blockade in a pig model. ( 0,658266596477686 )
Med Decis Making - An agent-based simulation model for Clostridium difficile infection control. ( 0,650979754625077 )
Int J Med Inform - The virtual neonate in The Neonatal Intensive Care Unit: when twin number three adds up to error not imagination. ( 0,650840972216895 )
J Med Syst - Intelligent analysis of acute bed overflow in a tertiary hospital in Singapore. ( 0,650594601435325 )
Artif Intell Med - Predictive modelling of survival and length of stay in critically ill patients using sequential organ failure scores. ( 0,648929620188891 )
Med Decis Making - Factors relating to patient visit time with a physician. ( 0,647917688443256 )
J Telemed Telecare - Screening electroencephalograms are feasible in the emergency department. ( 0,646108994406742 )
Comput. Biol. Med. - Using HL7 in hospital staff assignments. ( 0,643830064006372 )
J Med Syst - Migration of patients between five urban teaching hospitals in Chicago. ( 0,640458017700721 )
Methods Inf Med - DPC in acute-phase inpatient hospital care. Visualization of amount of nursing care provided and accessibility to nursing care. ( 0,63902124290072 )
Artif Intell Med - Evaluation of a clinical decision support algorithm for patient-specific childhood immunization. ( 0,638043915953063 )
J Clin Monit Comput - Airway management practices in adult intensive care units in Israel: a national survey. ( 0,637213835131662 )
Comput. Biol. Med. - A novel mortality model for acute alcoholic hepatitis including variables recorded after admission to hospital. ( 0,637180957993154 )
AMIA Annu Symp Proc - Early detection of sepsis in the emergency department using Dynamic Bayesian Networks. ( 0,635650623662013 )
AMIA Annu Symp Proc - Priority queuing models for hospital intensive care units and impacts to severe case patients. ( 0,633677962966907 )
Med Biol Eng Comput - Modelling physiological deterioration in post-operative patient vital-sign data. ( 0,632817440794277 )
Telemed J E Health - Reduced cost and mortality using home telehealth to promote self-management of complex chronic conditions: a retrospective matched cohort study of 4,999 veteran patients. ( 0,630762037873164 )
J Med Syst - Using RFID yoking proof protocol to enhance inpatient medication safety. ( 0,625705744204651 )
Healthc (Amst) - Post-acute referral patterns for hospitals and implications for bundled payment initiatives. ( 0,624609126349333 )
BMC Med Inform Decis Mak - Patient access to complex chronic disease records on the Internet. ( 0,621833739753905 )
Telemed J E Health - Challenges in implementing a pediatric cardiovascular home telehealth project. ( 0,621259183591692 )
Appl Clin Inform - Association between use of a health information exchange system and hospital admissions. ( 0,619402499830227 )
AMIA Annu Symp Proc - Risk stratification of ICU patients using topic models inferred from unstructured progress notes. ( 0,61710155723726 )
Comput Methods Programs Biomed - Manual nurse messaging with patient information using a mobile whiteboard system. ( 0,616851228463465 )
Int J Med Robot - Outpatient robotic hysterectomy: clinical outcomes and financial analysis of initial experience. ( 0,616805663321608 )
Inform Health Soc Care - Design and implementation of wireless patient monitoring system for postoperative patients on general care floor. ( 0,616419677063517 )
J. Med. Internet Res. - Long-term doctor-patient relationships: patient perspective from online reviews. ( 0,615665712266444 )
Telemed J E Health - The impact of remote patient monitoring (telehealth) upon Medicare beneficiaries with heart failure. ( 0,613790664881493 )
Comput Methods Programs Biomed - Profiling hospitals based on emergency readmission: a multilevel transition modelling approach. ( 0,612784297429716 )
Telemed J E Health - Using nursing expertise and telemedicine to increase nursing collaboration and improve patient outcomes. ( 0,61270604365065 )
J Med Syst - Developing an active emergency medical service system based on WiMAX technology. ( 0,606952479674369 )
J Telemed Telecare - The effect of ICU telemedicine on mortality and length of stay. ( 0,605146061062555 )
Telemed J E Health - New hospital telemedicine services: potential market for a nighttime telehospitalist service. ( 0,604626323309652 )
AMIA Annu Symp Proc - Event detection: a clinical notification service on a health information exchange platform. ( 0,602704903497565 )
AMIA Annu Symp Proc - Impact of electronic medication reconciliation at hospital admission on clinician workflow. ( 0,601981012300477 )
Healthc (Amst) - Opening the ICU doors. ( 0,600703094972774 )
J Am Med Inform Assoc - The impact of electronic health records on care of heart failure patients in the emergency room. ( 0,600419507816567 )
Int J Health Geogr - An analysis of health system resources in relation to pandemic response capacity in the Greater Mekong Subregion. ( 0,600312644036467 )
Appl Clin Inform - Information technology improves Emergency Department patient discharge instructions completeness and performance on a national quality measure: a quasi-experimental study. ( 0,599053953067577 )
Med Decis Making - Analyzing discharge strategies during acute care: a discrete-event simulation study. ( 0,598817176407601 )
J. Med. Internet Res. - Use of home telemonitoring to support multidisciplinary care of heart failure patients in Finland: randomized controlled trial. ( 0,598601088194528 )
Comput. Biol. Med. - Changes in the initial slope of the QRS in ischemic patients and normal subjects undergoing scintigraphy with dipyridamole. ( 0,59592831861595 )
J Am Med Inform Assoc - Enrollment into a time sensitive clinical study in the critical care setting: results from computerized septic shock sniffer implementation. ( 0,59433815266808 )
J Telemed Telecare - Sensitivity and specificity of telemedicine-based long-term pulse-oximetry in comparison with cardiorespiratory polygraphy and polysomnography in patients with obstructive sleep apnoea syndrome. ( 0,592542667500781 )
J Am Med Inform Assoc - BT-Nurse: computer generation of natural language shift summaries from complex heterogeneous medical data. ( 0,588309085738865 )
AMIA Annu Symp Proc - A clinical decision tool for predicting patient care characteristics: patients returning within 72 hours in the emergency department. ( 0,587597573520046 )
J Biomed Inform - Predicting treatment process steps from events. ( 0,587389881762159 )
Telemed J E Health - The influence of a wound care teleassistance service on nursing practice: a case study in Quebec. ( 0,586632346464109 )
Comput Methods Programs Biomed - Scheduling prioritized patients in emergency department laboratories. ( 0,585404588626356 )
BMC Med Inform Decis Mak - IT adoption of clinical information systems in Austrian and German hospitals: results of a comparative survey with a focus on nursing. ( 0,58340280606335 )
Comput Methods Programs Biomed - Development and implementation of a national telehealth project for long-term care: a preliminary study. ( 0,581142394980095 )
Appl Clin Inform - Evaluation of the pressure ulcer prevention clinical decision report for bedside nurses in acute care hospitals. ( 0,579629005636121 )
AMIA Annu Symp Proc - On-time clinical phenotype prediction based on narrative reports. ( 0,579334408707552 )
J Am Med Inform Assoc - Database queries for hospitalizations for acute congestive heart failure: flexible methods and validation based on set theory. ( 0,579203973213875 )
BMC Med Inform Decis Mak - A novel time series analysis approach for prediction of dialysis in critically ill patients using echo-state networks. ( 0,577721969518236 )
BMC Med Inform Decis Mak - Application of clinical pathway using electronic medical record system in pediatric patients with supracondylar fracture of the humerus: a before and after comparative study. ( 0,576381027958492 )
J Med Syst - A simulation study to improve performance in the preparation and delivery of antineoplastic medications at a community hospital. ( 0,574613482163823 )
J Telemed Telecare - The benefit of smart phone usage in liver organ procurement. ( 0,573654555714775 )
J Am Med Inform Assoc - Chart biopsy: an emerging medical practice enabled by electronic health records and its impacts on emergency department-inpatient admission handoffs. ( 0,571996771355461 )
Lifetime Data Anal - A competing risks approach for nonparametric estimation of transition probabilities in a non-Markov illness-death model. ( 0,571697822138672 )
J Telemed Telecare - Clinical and psychological telemonitoring and telecare of high risk heart failure patients. ( 0,570999150277816 )
Telemed J E Health - Home telehealth in high-risk dialysis patients: a 3-year study. ( 0,570960937139455 )
BMC Med Inform Decis Mak - Do nurses reason 'adaptively' in time limited situations: the findings of a descriptive regression analysis. ( 0,570587870708977 )
BMC Med Inform Decis Mak - A predictive model for the early identification of patients at risk for a prolonged intensive care unit length of stay. ( 0,570287903350626 )
Comput Methods Programs Biomed - A method to manage and share anti-retroviral (ARV) therapy information of human immunodeficiency virus (HIV) patients in Vietnam. ( 0,569315769496192 )
Telemed J E Health - Salem VAMC-U.S. Army Fort Bragg Warrior Transition Clinic telepsychiatry collaboration: 12-month operation clinical perspective. ( 0,567542840617313 )
J Am Med Inform Assoc - Using electronic health record data to develop inpatient mortality predictive model: Acute Laboratory Risk of Mortality Score (ALaRMS). ( 0,567001821366827 )
J Med Syst - Economic and quality scheduling for effective utilization of operating rooms. ( 0,566361447623476 )
Int J Med Inform - Improving hospital bed utilisation through simulation and optimisation: with application to a 40% increase in patient volume in a Norwegian General Hospital. ( 0,564359795720175 )
Comput. Biol. Med. - Classification algorithms for the identification of structural injury in TBI using brain electrical activity. ( 0,562943356330934 )
Int J Health Geogr - Permitted water pollution discharges and population cancer and non-cancer mortality: toxicity weights and upstream discharge effects in US rural-urban areas. ( 0,56294015458908 )
J Med Syst - Impact of technological innovation on a nursing home performance and on the medication-use process safety. ( 0,562263912652587 )
J Biomed Inform - Outpatient physician billing data for age and setting specific syndromic surveillance of influenza-like illnesses. ( 0,562201544399742 )
AMIA Annu Symp Proc - Patient-specific surgical outcomes assessment using population-based data analysis for risk model development. ( 0,562074654899967 )
Med Decis Making - Probabilistic priority assessment of nurse calls. ( 0,561598688480283 )
J Clin Monit Comput - StO2 guided early resuscitation in subjects with severe sepsis or septic shock: a pilot randomised trial. ( 0,559102489784657 )
Int J Med Inform - The utilization of poisons information resources in Australasia. ( 0,558898281016424 )
BMC Med Inform Decis Mak - Evaluation of an automated safety surveillance system using risk adjusted sequential probability ratio testing. ( 0,558600709657631 )
Int J Med Inform - Use of web-based patient education sessions on psychiatric wards. ( 0,557700137502107 )
Telemed J E Health - E-healthcare maturity in Taiwan. ( 0,55734542854283 )
J Med Syst - Emergency access authorization for personally controlled online health care data. ( 0,555643944042836 )
J Am Med Inform Assoc - Automated detection of physiologic deterioration in hospitalized patients. ( 0,555260419637792 )
BMC Med Inform Decis Mak - Impact of computerized physician order entry (CPOE) system on the outcome of critically ill adult patients: a before-after study. ( 0,55493021239431 )
BMC Med Inform Decis Mak - Simulating an emergency department: the importance of modeling the interactions between physicians and delegates in a discrete event simulation. ( 0,554357389551903 )
Methods Inf Med - Identifying prevalent cases of breast cancer in the French case-mix databases. ( 0,554116447491269 )
Telemed J E Health - The use of a camera-enabled mobile phone to triage patients with nasal bone injuries. ( 0,55403301596017 )
J. Med. Internet Res. - Use of sentiment analysis for capturing patient experience from free-text comments posted online. ( 0,551638549969185 )