Int J Med Inform - Variations in faculty assessment of NICU flowsheet data: implications for electronic data display.

Tópicos

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

Resumo

JECTIVE: Understanding how physicians navigate through patient data to construct clinically meaningful information has implication for resident education as well as how patient data is displayed. The purpose of this study was to determine how physicians reason through patient data presented on a flowsheet in the neonatal intensive care unit (NICU).METHODS: A volunteer sample of 20 neonatologists took part in this study. Participants evaluated 5 hypothetical case scenarios presented on standardized NICU flowsheets to (1) select the best diagnosis for each case (diagnostic choice) and (2) identify the flowsheet items that most influenced their diagnostic choice (diagnostic reasoning).RESULTS: Faculty had generally high agreement with respect to their diagnostic choices. There was little agreement on items that faculty considered clinically relevant for each case. On average, only 6% of items per case reached an agreement level of at least 75%.CONCLUSIONS: We found that neonatologists who agreed on a diagnosis rarely agreed on the most important data elements that led them to that conclusion. Future studies designed to articulate how physicians decide to direct their attention when presented with flowsheet data may shed light on how this data is utilized and might be optimally presented.

Resumo Limpo

jectiv understand physician navig patient data construct clinic meaning inform implic resid educ well patient data display purpos studi determin physician reason patient data present flowsheet neonat intens care unit nicumethod volunt sampl neonatologist took part studi particip evalu hypothet case scenario present standard nicu flowsheet select best diagnosi case diagnost choic identifi flowsheet item influenc diagnost choic diagnost reasoningresult faculti general high agreement respect diagnost choic littl agreement item faculti consid clinic relev case averag item per case reach agreement level least conclus found neonatologist agre diagnosi rare agre import data element led conclus futur studi design articul physician decid direct attent present flowsheet data may shed light data util might optim present

Resumos Similares

Comput. Biol. Med. - Integration testing through reusing representative unit test cases for high-confidence medical software. ( 0,804349513044506 )
Artif Intell Med - Biomedical visual data analysis to build an intelligent diagnostic decision support system in medical genetics. ( 0,778295254326594 )
J Telemed Telecare - Validity and reliability of the assessment and diagnosis of musculoskeletal elbow disorders using telerehabilitation. ( 0,773285495384166 )
J Telemed Telecare - A preliminary study of the contribution of telemicroscopy to the diagnosis and management of skin tumours in teledermatology. ( 0,759951749499167 )
Comput. Biol. Med. - Randomized pilot study and qualitative evaluation of a clinical decision support system for brain tumour diagnosis based on SV ?H MRS: evaluation as an additional information procedure for novice radiologists. ( 0,746184891025099 )
J Telemed Telecare - The accuracy of mobile teleradiology in the evaluation of chest X-rays. ( 0,744633591043909 )
J Telemed Telecare - Telecytology in East Africa: a feasibility study of forty cases using a static imaging system. ( 0,744363406707588 )
Comput Math Methods Med - Deep learning based syndrome diagnosis of chronic gastritis. ( 0,734230164907131 )
Telemed J E Health - Diagnostic accuracy and image quality using a USB digital eyepiece camera for telecytology-Georgian experience. ( 0,727088049623461 )
Int J Med Inform - Fuzzy cognitive map in differential diagnosis of alterations in urinary elimination: a nursing approach. ( 0,725518751050151 )
Telemed J E Health - Teledentistry: distant diagnosis of oral disease using e-mails. ( 0,719771200962599 )
J Telemed Telecare - Agreement on diagnoses of mental health problems between an online clinical assignment and a routine clinical assignment. ( 0,713882974618381 )
Comput. Biol. Med. - Computational diagnosis and risk evaluation for canine lymphoma. ( 0,712204080643601 )
BMC Med Inform Decis Mak - Supporting meningitis diagnosis amongst infants and children through the use of fuzzy cognitive mapping. ( 0,701249018540321 )
Comput Math Methods Med - Differentiating small (=1cm) focal liver lesions as metastases or cysts by means of computed tomography: a case-study to illustrate a fuzzy logic-based method to assess the impact of diagnostic confidence on radiological diagnosis. ( 0,700610643134967 )
J Telemed Telecare - Dynamic telecytopathology for on-site preliminary diagnosis of endoscopic ultrasound-guided fine needle aspiration of pancreatic masses. ( 0,699330036534968 )
Telemed J E Health - Asynchronous video-otoscopy with a telehealth facilitator. ( 0,698598203707811 )
Med Decis Making - Doctors and numbers: an assessment of the critical risk interpretation test. ( 0,695634293109232 )
Med Decis Making - Effect of background case characteristics on decisions in the delivery room. ( 0,694329122042083 )
Telemed J E Health - Help is in your pocket: the potential accuracy of smartphone- and laptop-based remotely guided resuscitative telesonography. ( 0,693084326605692 )
AMIA Annu Symp Proc - Diagnostic performance of a telemedicine system for ophthalmology: advantages in accuracy and speed compared to standard care. ( 0,689448661518035 )
Comput. Biol. Med. - A Bayesian network decision model for supporting the diagnosis of dementia, Alzheimers disease and mild cognitive impairment. ( 0,688513919182478 )
Comput Methods Programs Biomed - Application of clustering analyses to the diagnosis of Huntington disease in mice and other diseases with well-defined group boundaries. ( 0,687218996736984 )
Telemed J E Health - Assessment of static telecytological diagnoses' reproducibility in cervical smears prepared by means of liquid-based cytology. ( 0,687123895294045 )
Med Decis Making - Exploring the impact of expertise, clinical history, and visual search on electrocardiogram interpretation. ( 0,686043661711586 )
BMC Med Inform Decis Mak - Using value of information to guide evaluation of decision supports for differential diagnosis: is it time for a new look? ( 0,684470351165881 )
Comput Methods Programs Biomed - Design, construction and validation of a portable care system for the daily telerehabiliatation of gait. ( 0,682290014328337 )
AMIA Annu Symp Proc - Development and Evaluation of Reference Standards for Image-based Telemedicine Diagnosis and Clinical Research Studies in Ophthalmology. ( 0,679830227814036 )
Comput. Biol. Med. - Fuzzy-based framework for diagnosis of acid-base disorders. ( 0,675100810851938 )
Comput. Biol. Med. - Exploring medical diagnostic performance using interactive, multi-parameter sourced receiver operating characteristic scatter plots. ( 0,673333229816373 )
J Med Syst - Decision support algorithm for diagnosis of ADHD using electroencephalograms. ( 0,673269100537142 )
AMIA Annu Symp Proc - Text Classification towards Detecting Misdiagnosis of an Epilepsy Syndrome in a Pediatric Population. ( 0,671871129832857 )
J Telemed Telecare - Feasibility and diagnostic accuracy of Internet-based dynamic telepathology between Uganda and Germany. ( 0,671833046785742 )
J Telemed Telecare - A prospective study of mobile phones for dermatology in a clinical setting. ( 0,668108201499153 )
Int J Comput Assist Radiol Surg - Comprehensive visualization of multimodal cardiac imaging data for assessment of coronary artery disease: first clinical results of the SMARTVis tool. ( 0,666875357209797 )
J Telemed Telecare - The contribution of teledermatoscopy to the diagnosis and management of non-melanocytic skin tumours. ( 0,663547682654796 )
Int J Comput Assist Radiol Surg - Evaluation of novice reader diagnostic performance in coronary CT angiography using an advanced cardiac software package. ( 0,662796033574899 )
J Telemed Telecare - Development and evaluation of a PDA-based teleradiology terminal in thyroid nodule diagnosis. ( 0,661325907072819 )
Artif Intell Med - Modern parameterization and explanation techniques in diagnostic decision support system: a case study in diagnostics of coronary artery disease. ( 0,661226752272641 )
J Telemed Telecare - Video-otoscopy recordings for diagnosis of childhood ear disease using telehealth at primary health care level. ( 0,648436816897123 )
Comput Methods Programs Biomed - A model for diagnosis of pulmonary infections in solid-organ transplant recipients. ( 0,648276515831194 )
J Med Syst - The quantification of the QT-RR interaction in ECG signal using the detrended fluctuationanalysis and ARARX modelling. ( 0,647738248278673 )
J Telemed Telecare - Telecytology for rapid assessment of cytological specimens. ( 0,647635293776191 )
Artif Intell Med - A knowledge-based clinical toxicology consultant for diagnosing single exposures. ( 0,647578711018397 )
Methods Inf Med - Automated volumes-of-interest identification for classical and atypical Parkinsonian syndrome differentiation using T2' MR imaging. ( 0,639547541460785 )
Methods Inf Med - Long-term impact of physician encoding on detail and number of recorded diagnoses. Support by a speciality specific list of diseases. ( 0,637114174439868 )
J Telemed Telecare - Telemedicine for corneal disease in rural Nepal. ( 0,637068383068855 )
Int J Comput Assist Radiol Surg - Content-based image-retrieval system in chest computed tomography for a solitary pulmonary nodule: method and preliminary experiments. ( 0,631528426262654 )
J Med Syst - Prediction of similarities among rheumatic diseases. ( 0,630404968502656 )
J Telemed Telecare - Telemedicine for retinal care in developing nations: the ORBIS Cyber-Sight programme, 2003-2011. ( 0,62478576055099 )
Artif Intell Med - A knowledge-based clinical toxicology consultant for diagnosing multiple exposures. ( 0,624323060241452 )
Int J Med Inform - Application of a model based on fuzzy logic for evaluating nursing diagnostic accuracy of students. ( 0,623027301786972 )
Comput Methods Programs Biomed - A web-based system for clinical decision support and knowledge maintenance for deterioration monitoring of hemato-oncological patients. ( 0,622686719888207 )
J Telemed Telecare - Validation of the 3-lead tele-ECG versus the 12-lead tele-ECG and the conventional 12-lead ECG method in older people. ( 0,619504594407509 )
J Med Syst - Chinese Acupuncture Expert System (CAES)-a useful tool to practice and learn medical acupuncture. ( 0,617788044529825 )
Appl Clin Inform - Diagnostic performance of electronic syndromic surveillance systems in acute care: a systematic review. ( 0,617154895245526 )
Int J Comput Assist Radiol Surg - Toward a clinical lumbar CAD: herniation diagnosis. ( 0,616444831223543 )
BMC Med Inform Decis Mak - Development and validation of an algorithm to recalibrate mental models and reduce diagnostic errors associated with catheter-associated bacteriuria. ( 0,612557308887201 )
Int J Comput Assist Radiol Surg - Computer-aided simple triage. ( 0,61233620385624 )
Comput Math Methods Med - Ontology-oriented diagnostic system for traditional Chinese medicine based on relation refinement. ( 0,611560000760865 )
J Telemed Telecare - Use of telehealth for patients referred to a retrieval service: timing, destination, mode of transport, escort level and patient care. ( 0,609947020019736 )
J Med Syst - A novel mathematical approach to diagnose premenstrual syndrome. ( 0,607625925365038 )
Comput Methods Programs Biomed - Improving the medical scale predictability by the pairwise comparisons method: evidence from a clinical data study. ( 0,606438618442455 )
J Am Med Inform Assoc - Evaluating the state of the art in disorder recognition and normalization of the clinical narrative. ( 0,604619513623187 )
Comput. Biol. Med. - Automatic differential diagnosis of pancreatic serous and mucinous cystadenomas based on morphological features. ( 0,600971104171684 )
Med Decis Making - Joint and separate evaluation of risk reduction: impact on sensitivity to risk reduction magnitude in the context of 4 different risk information formats. ( 0,600689232434244 )
Int J Med Inform - Artificial intelligence techniques applied to the development of a decision-support system for diagnosing celiac disease. ( 0,600463054348326 )
Comput. Biol. Med. - Aortic root 3D parametric morphological model from 2D-echo images. ( 0,598580497195094 )
J Telemed Telecare - Mobile teledermatology--patient satisfaction, diagnostic and management concordance, and factors affecting patient refusal to participate in Saudi Arabia. ( 0,597572493477323 )
Artif Intell Med - An approach for Ewing test selection to support the clinical assessment of cardiac autonomic neuropathy. ( 0,595661221148557 )
J Clin Monit Comput - Single-channel amplitude integrated EEG recording for the identification of epileptic seizures by nonexpert physicians in the adult acute care setting. ( 0,591251325919514 )
Artif Intell Med - A decision support system for cost-effective diagnosis. ( 0,587136792775176 )
Int J Med Robot - A novel modification of the Turing test for artificial intelligence and robotics in healthcare. ( 0,586103606854211 )
Comput Math Methods Med - Automatic evaluation of progression angle and fetal head station through intrapartum echographic monitoring. ( 0,582400745473431 )
Int J Med Inform - The introduction of a diagnostic decision support system (DXplain?) into the workflow of a teaching hospital service can decrease the cost of service for diagnostically challenging Diagnostic Related Groups (DRGs). ( 0,580894103123906 )
J Med Syst - An approach to model Right Iliac Fossa pain using pain-only-parameters for screening acute appendicitis. ( 0,580372722116491 )
J. Med. Internet Res. - A smartphone client-server teleradiology system for primary diagnosis of acute stroke. ( 0,580324589994888 )
Telemed J E Health - High quantity but limited quality in healthcare applications intended for HIV-infected patients. ( 0,575831545549426 )
J Biomed Inform - Classifying obstructive sleep apnea using smartphones. ( 0,57220415522977 )
Comput Math Methods Med - Computerized neuropsychological assessment in aging: testing efficacy and clinical ecology of different interfaces. ( 0,571404884854772 )
Med Decis Making - Bivariate random-effects meta-analysis of sensitivity and specificity with the Bayesian SAS PROC MCMC: methodology and empirical evaluation in 50 meta-analyses. ( 0,570579175967612 )
BMC Med Inform Decis Mak - Nuclear medicine technologists are able to accurately determine when a myocardial perfusion rest study is necessary. ( 0,567523081559875 )
J. Med. Internet Res. - Movement-based interaction applied to physical rehabilitation therapies. ( 0,565015321615014 )
Int J Med Inform - Enhancing patient understanding of medical procedures: evaluation of an interactive multimedia program with in-line exercises. ( 0,56117175447377 )
Int J Med Inform - The accuracy of Internet search engines to predict diagnoses from symptoms can be assessed with a validated scoring system. ( 0,558707350894298 )
J Clin Monit Comput - Performance evaluation of a whole blood propofol analyser. ( 0,558168001207419 )
Int J Comput Assist Radiol Surg - CTPA as the gold standard for the diagnosis of pulmonary embolism. ( 0,557052134095554 )
Med Decis Making - Continuously rethinking the definition of influenza for surveillance systems: a Dependent Bayesian Expert System. ( 0,553119303495859 )
Artif Intell Med - Differences in examination characteristics of pigmented skin lesions: results of an eye tracking study. ( 0,54790157333407 )
J Telemed Telecare - Teledermatology consultation using a smartphone multimedia messaging service for common skin diseases in the Korean army: a clinical evaluation of its diagnostic accuracy. ( 0,546081095479692 )
BMC Med Inform Decis Mak - A hybrid decision support model to discover informative knowledge in diagnosing acute appendicitis. ( 0,545755889784245 )
J Med Syst - An improved medical decision support system to identify the breast cancer using mammogram. ( 0,543693322364826 )
Comput. Biol. Med. - Early detection of coronary artery disease in patients studied with magnetocardiography: an automatic classification system based on signal entropy. ( 0,543485468321767 )
Telemed J E Health - Comparison of low-light nonmydriatic digital imaging with 35-mm ETDRS seven-standard field stereo color fundus photographs and clinical examination. ( 0,542785715697439 )
Med Biol Eng Comput - Shoulder impingement revisited: evolution of diagnostic understanding in orthopedic surgery and physical therapy. ( 0,541797123015097 )
Perspect Health Inf Manag - Accuracy of the Charlson index comorbidities derived from a hospital electronic database in a teaching hospital in Saudi Arabia. ( 0,541768622299678 )
Telemed J E Health - Video-telemedicine in a memory disorders clinic: evaluation and management of rural elders with cognitive impairment. ( 0,541248574429278 )
Int J Comput Assist Radiol Surg - Disc herniation diagnosis in MRI using a CAD framework and a two-level classifier. ( 0,538844175240475 )
Telemed J E Health - Performance of distant diagnosis of dental caries by teledentistry in juvenile offenders. ( 0,538699068885905 )
Med Biol Eng Comput - Movement analysis by accelerometry of newborns and infants for the early detection of movement disorders due to infantile cerebral palsy. ( 0,538379833241506 )