Appl Clin Inform - Computerized Provider Order Entry with Pager Notification Improves Efficiency in STAT Radiographic Studies and Respiratory Treatments.

Tópicos

{ take(945) account(800) differ(722) }
{ treatment(1704) effect(941) patient(846) }
{ record(1888) medic(1808) patient(1693) }
{ algorithm(1844) comput(1787) effici(935) }
{ signal(2180) analysi(812) frequenc(800) }
{ medic(1828) order(1363) alert(1069) }
{ time(1939) patient(1703) rate(768) }
{ intervent(3218) particip(2042) group(1664) }
{ survey(1388) particip(1329) question(1065) }
{ group(2977) signific(1463) compar(1072) }
{ patient(2315) diseas(1263) diabet(1191) }
{ care(1570) inform(1187) nurs(1089) }
{ studi(1410) differ(1259) use(1210) }
{ system(1976) rule(880) can(841) }
{ imag(2675) segment(2577) method(1081) }
{ data(3963) clinic(1234) research(1004) }
{ cost(1906) reduc(1198) effect(832) }
{ cancer(2502) breast(956) screen(824) }
{ method(1219) similar(1157) match(930) }
{ howev(809) still(633) remain(590) }
{ risk(3053) factor(974) diseas(938) }
{ first(2504) two(1366) second(1323) }
{ patient(1821) servic(1111) care(1106) }
{ method(1969) cluster(1462) data(1082) }
{ problem(2511) optim(1539) algorithm(950) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ compound(1573) activ(1297) structur(1058) }
{ blood(1257) pressur(1144) flow(957) }
{ can(981) present(881) function(850) }
{ health(1844) social(1437) communiti(874) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ 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) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ 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) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ design(1359) user(1324) use(1319) }
{ 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) }
{ perform(999) metric(946) measur(919) }
{ research(1085) discuss(1038) issu(1018) }
{ system(1050) medic(1026) inform(1018) }
{ import(1318) role(1303) understand(862) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ perform(1367) use(1326) method(1137) }
{ studi(1119) effect(1106) posit(819) }
{ spatial(1525) area(1432) region(1030) }
{ health(3367) inform(1360) care(1135) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ ehr(2073) health(1662) electron(1139) }
{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ activ(1138) subject(705) human(624) }
{ use(2086) technolog(871) perceiv(783) }
{ analysi(2126) use(1163) compon(1037) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ 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) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

CKGROUND: The use of computerized provider order entry (CPOE) has been widely linked to improvements in patient safety. We hypothesized that electronic routing of CPOE-generated orders through individual pagers would improve the efficiency of STAT radiographic studies and respiratory treatments.METHODS: The study was conducted in two periods before and after implementing pager notification of STAT orders. In the Baseline Period, CPOE-generated STAT orders were communicated to radiology technicians or respiratory therapists through the use of printed orders, manual paging and/or telephone communication. The time to process the order and deliver a radiology result or respiratory treatment was tracked. In the Intervention Period CPOE-generated STAT orders were electronically routed to the radiology technician's or respiratory therapist's pager. During both time periods, clinicians completed user satisfaction surveys.RESULTS: Using pager notification, there was a significant reduction in radiology technician arrival time (16.8?2.1 vs 7.9?0.7 mins, p<0.001). Similarly there was a significant reduction in the cumulative time required to capture the radiographic image, image availability in the picture archiving and communication system (PACS) and the verbal report from the radiologist (p<0.05). The time required in obtaining a preliminary or final radiographic written report and the total cycle times were not significantly reduced. For STAT respiratory therapy orders there was a significant reduction in the mean time from ordering to administration of respiratory therapy treatments (124.7?14.1 vs 49.8?11.4 minutes, p<0.01). Radiologists, respiratory therapists and ordering clinicians reported improved satisfaction after implementation of pager notification.CONCLUSION: Computer-generated orders for STAT radiographic studies and respiratory treatments can be carried out significantly faster through the use of direct pager notification. The implementation of this process has resulted in improved care delivery and widespread clinician satisfaction.

Resumo Limpo

ckground use computer provid order entri cpoe wide link improv patient safeti hypothes electron rout cpoegener order individu pager improv effici stat radiograph studi respiratori treatmentsmethod studi conduct two period implement pager notif stat order baselin period cpoegener stat order communic radiolog technician respiratori therapist use print order manual page andor telephon communic time process order deliv radiolog result respiratori treatment track intervent period cpoegener stat order electron rout radiolog technician respiratori therapist pager time period clinician complet user satisfact surveysresult use pager notif signific reduct radiolog technician arriv time vs min p similar signific reduct cumul time requir captur radiograph imag imag avail pictur archiv communic system pac verbal report radiologist p time requir obtain preliminari final radiograph written report total cycl time signific reduc stat respiratori therapi order signific reduct mean time order administr respiratori therapi treatment vs minut p radiologist respiratori therapist order clinician report improv satisfact implement pager notificationconclus computergener order stat radiograph studi respiratori treatment can carri signific faster use direct pager notif implement process result improv care deliveri widespread clinician satisfact

Resumos Similares

J. Med. Internet Res. - Comparing effects in regular practice of e-communication and Web-based self-management support among breast cancer patients: preliminary results from a randomized controlled trial. ( 0,610400218498058 )
J Telemed Telecare - Differences between surrogate telephone triage calls in an adult population and self calls. ( 0,575928572204934 )
Med Decis Making - Applying the payoff time framework to carotid artery disease management. ( 0,555021855863211 )
J. Med. Internet Res. - A comparison of two delivery modalities of a mobile phone-based assessment for serious mental illness: native smartphone application vs text-messaging only implementations. ( 0,554973601809762 )
Int J Med Inform - Effects of a WLAN-based real time location system on outpatient contentment in a Level I trauma center. ( 0,5414443341286 )
Comput Methods Programs Biomed - Comparison of documentation time between an electronic and a paper-based record system by optometrists at an eye hospital in south India: a time-motion study. ( 0,537520277183387 )
J Telemed Telecare - A randomized controlled clinical trial of pacemaker follow-up in clinic and by telemedical interpretation of the pacemakers' magnet mode. ( 0,535174717636303 )
J Am Med Inform Assoc - A randomized controlled trial of screening for maternal depression with a clinical decision support system. ( 0,521919516386044 )
J. Med. Internet Res. - Chinese My Trauma Recovery, a Web-based intervention for traumatized persons in two parallel samples: randomized controlled trial. ( 0,518172983500781 )
Methods Inf Med - Respiratory variability during different auditory stimulation periods in schizophrenia patients. ( 0,515282179447509 )
AMIA Annu Symp Proc - Comparing the effectiveness of a clinical registry and a clinical data warehouse for supporting clinical trial recruitment: a case study. ( 0,514870612556772 )
Med Decis Making - Optimizing statin treatment decisions for diabetes patients in the presence of uncertain future adherence. ( 0,5129393836655 )
J. Med. Internet Res. - Diabetes patients' experiences with the implementation of insulin therapy and their perceptions of computer-assisted self-management systems for insulin therapy. ( 0,512245558302897 )
Int J Med Inform - Exploring practice variation in preventive pressure-ulcer care using data from a clinical data repository. ( 0,511257083920401 )
J. Med. Internet Res. - Rethinking the dose-response relationship between usage and outcome in an online intervention for depression: randomized controlled trial. ( 0,510606920886299 )
J. Med. Internet Res. - Web-based intervention in mindfulness meditation for reducing residual depressive symptoms and relapse prophylaxis: a qualitative study. ( 0,510530079143885 )
J Am Med Inform Assoc - Secure messaging and diabetes management: experiences and perspectives of patient portal users. ( 0,508228148353064 )
J Am Med Inform Assoc - Automating the medication regimen complexity index. ( 0,507681226831847 )
J. Med. Internet Res. - Methodological issues in Internet-mediated research: a randomized comparison of internet versus mailed questionnaires. ( 0,507025023201866 )
J Med Syst - Determining the appropriate amount of anesthetic gas using DWT and EMD combined with neural network. ( 0,502275980070998 )
J. Med. Internet Res. - Acceptability of a clinician-assisted computerized psychological intervention for comorbid mental health and substance use problems: treatment adherence data from a randomized controlled trial. ( 0,499549868270579 )
Int J Neural Syst - Localization of epileptic foci using multimodality neuroimaging. ( 0,499367384294345 )
J Am Med Inform Assoc - Effectiveness of an information technology intervention to improve prophylactic antibacterial use in the postoperative period. ( 0,497120795904225 )
J. Med. Internet Res. - Long-term outcomes of internet-based self-management support in adults with asthma: randomized controlled trial. ( 0,496846513380441 )
Int J Neural Syst - A decade of experience with deep brain stimulation for patients with refractory medial temporal lobe epilepsy. ( 0,496531750044087 )
Comput Methods Programs Biomed - Cross-Approximate Entropy parallel computation on GPUs for biomedical signal analysis. Application to MEG recordings. ( 0,495859119707855 )
BMC Med Inform Decis Mak - A pilot with computer-assisted psychosocial risk-assessment for refugees. ( 0,494742342206771 )
J Am Med Inform Assoc - Improving the validity of determining medication adherence from electronic health record medications orders. ( 0,494055626883993 )
J. Med. Internet Res. - Patients' continuing use of an online health record: a quantitative evaluation of 14,000 patient years of access data. ( 0,489626782082063 )
Comput Math Methods Med - Multicriteria optimization model for the study of the efficacy of skin antiaging therapy. ( 0,488813325989061 )
J. Med. Internet Res. - Effect of a Kinect-based exercise game on improving executive cognitive performance in community-dwelling elderly: case control study. ( 0,488789796093554 )
J Am Med Inform Assoc - Implementation of the Department of Veterans Affairs' first point-of-care clinical trial. ( 0,48819734751911 )
J. Med. Internet Res. - Internet-delivered interpersonal psychotherapy versus internet-delivered cognitive behavioral therapy for adults with depressive symptoms: randomized controlled noninferiority trial. ( 0,487828100037496 )
J. Med. Internet Res. - The clinical effectiveness of web-based cognitive behavioral therapy with face-to-face therapist support for depressed primary care patients: randomized controlled trial. ( 0,486912262103229 )
Appl Clin Inform - A toolbox to improve algorithms for insulin-dosing decision support. ( 0,484227074471895 )
J. Med. Internet Res. - An Internet-based guided self-help intervention for panic symptoms: randomized controlled trial. ( 0,484153293913745 )
J Am Med Inform Assoc - Effects of an online personal health record on medication accuracy and safety: a cluster-randomized trial. ( 0,484139234025001 )
Int J Med Inform - Concept and implementation of a computer-based reminder system to increase completeness in clinical documentation. ( 0,482903031246457 )
J. Med. Internet Res. - Effectiveness of an online group course for depression in adolescents and young adults: a randomized trial. ( 0,481987565269678 )
Comput. Aided Surg. - Clinical outcome after hypofractionated stereotactic radiotherapy (HSRT) for benign skull base tumors. ( 0,481742106206656 )
Int J Med Inform - An investigation of the efficacy of electronic consenting interfaces of research permissions management system in a hospital setting. ( 0,481470084104567 )
AMIA Annu Symp Proc - Phenome based analysis as a means for discovering context dependent clinical reference ranges. ( 0,477986710129142 )
J. Med. Internet Res. - Is a severe clinical profile an effect modifier in a Web-based depression treatment for adults with type 1 or type 2 diabetes? Secondary analyses from a randomized controlled trial. ( 0,477871503268379 )
J. Med. Internet Res. - An Internet-based intervention to promote mental fitness for mildly depressed adults: randomized controlled trial. ( 0,476585882047193 )
J Med Syst - Design and development of a Telephone-Linked Care (TLC) system to reduce impulsivity among violent forensic outpatients and probationers. ( 0,475018077126262 )
J. Med. Internet Res. - Understanding patient portal use: implications for medication management. ( 0,473704646046259 )
Appl Clin Inform - Evaluation of a user guidance reminder to improve the quality of electronic prescription messages. ( 0,473227240753745 )
J. Med. Internet Res. - Exploring patients' views of a cognitive behavioral therapy-based website for the self-management of irritable bowel syndrome symptoms. ( 0,471982256163713 )
J. Med. Internet Res. - Mining online social network data for biomedical research: a comparison of clinicians' and patients' perceptions about amyotrophic lateral sclerosis treatments. ( 0,471645334482325 )
Telemed J E Health - Internet-based aftercare for patients with back pain-a pilot study. ( 0,46983951119136 )
BMC Med Inform Decis Mak - How do medical doctors use a web-based oncology protocol system? A comparison of Australian doctors at different levels of medical training using logfile analysis and an online survey. ( 0,468551813096375 )
J. Med. Internet Res. - Conducting research on the Internet: medical record data integration with patient-reported outcomes. ( 0,468311379586945 )
Artif Intell Med - Mood recognition in bipolar patients through the PSYCHE platform: preliminary evaluations and perspectives. ( 0,468154888784791 )
J Am Med Inform Assoc - Presence of key findings in the medical record prior to a documented high-risk diagnosis. ( 0,467247725129318 )
Int J Med Inform - Implementation of computerized provider order entry in a neonatal intensive care unit: Impact on admission workflow. ( 0,467194162654844 )
J. Med. Internet Res. - For whom does it work? moderators of outcome on the effect of a transdiagnostic internet-based maintenance treatment after inpatient psychotherapy: randomized controlled trial. ( 0,46712940210584 )
J Am Med Inform Assoc - Actionable reminders did not improve performance over passive reminders for overdue tests in the primary care setting. ( 0,466999650196695 )
Med Biol Eng Comput - ECG variability contour method reveals amplitude changes in both ischemic patients and normal subjects during Dipyridamole stress: a preliminary report. ( 0,466170993183283 )
Appl Clin Inform - An electronic alert for HIV screening in the emergency department increases screening but not the diagnosis of HIV. ( 0,46536503402041 )
Comput. Biol. Med. - Stochastic cellular automata model and Monte Carlo simulations of CD4+ T cell dynamics with a proposed alternative leukapheresis treatment for HIV/AIDS. ( 0,465245361829763 )
Med Biol Eng Comput - Using reduced rule base with Expert System for the diagnosis of disease in hypertension. ( 0,46489792693279 )
Appl Clin Inform - A Computerized Alert Screening for Severe Sepsis in Emergency Department Patients Increases Lactate Testing but does not Improve Inpatient Mortality. ( 0,464424306068786 )
J Telemed Telecare - Home telemonitoring and quality of life in stable, optimised chronic obstructive pulmonary disease. ( 0,464295003968423 )
Telemed J E Health - Home management of oral anticoagulation via telemedicine versus conventional hospital-based treatment. ( 0,463766829672725 )
Neural Comput - Efficient blind dereverberation and echo cancellation based on independent component analysis for actual acoustic signals. ( 0,462865147551902 )
J Clin Monit Comput - Intraoperative MRI electrical noise and monitor ECG filters affect arrhythmia detection and identification. ( 0,462593221336994 )
J Am Med Inform Assoc - Development of a 5 year life expectancy index in older adults using predictive mining of electronic health record data. ( 0,461336236725381 )
J. Med. Internet Res. - Supporting patients treated for prostate cancer: a video vignette study with an email-based educational program in general practice. ( 0,461168851037763 )
J. Med. Internet Res. - Perspectives of family physicians on computer-assisted health-risk assessments. ( 0,460950489154097 )
J. Med. Internet Res. - Attrition and adherence in a WEB-Based Distress Management Program for Implantable Cardioverter defibrillator Patients (WEBCARE): randomized controlled trial. ( 0,460898449391707 )
Telemed J E Health - Internet-based medical visit and diagnosis for common medical problems: experience of first user cohort. ( 0,460428546682722 )
J Clin Monit Comput - Cardiac asynchrony in Duchenne muscular dystrophy. ( 0,460189216150414 )
J. Med. Internet Res. - Multimodal e-mental health treatment for depression: a feasibility trial. ( 0,45958727016057 )
J Med Syst - Organizational performance and regulatory compliance as measured by clinical pertinence indicators before and after implementation of Anesthesia Information Management System (AIMS). ( 0,45941087655157 )
J Telemed Telecare - A pilot study of a mobile-phone-based home monitoring system to assist in remote interventions in cases of acute exacerbation of COPD. ( 0,459384443497978 )
Telemed J E Health - Faked depression: comparing malingering via the internet, pen-and-paper, and telephone administration modes. ( 0,457435413313622 )
Comput Math Methods Med - Effects of first-time overnight CPAP therapy for increasing the complexity of the patient's physiological system. ( 0,457262627992131 )
J Telemed Telecare - Telerehabilitation for people with chronic obstructive pulmonary disease: feasibility of a simple, real time model of supervised exercise training. ( 0,456974582754301 )
Telemed J E Health - The acceptance of e-health solutions among patients with chronic respiratory conditions. ( 0,456577987341056 )
Telemed J E Health - A randomized controlled trial comparing health and quality of life of lung transplant recipients following nurse and computer-based triage utilizing home spirometry monitoring. ( 0,456326041693807 )
J. Med. Internet Res. - Effectiveness of a self-guided web-based cannabis treatment program: randomized controlled trial. ( 0,456317813701644 )
J. Med. Internet Res. - Internet-based cognitive behavioral therapy for patients with chronic somatic conditions: a meta-analytic review. ( 0,456276874296134 )
BMC Med Inform Decis Mak - Effects of a computerized feedback intervention on safety performance by junior doctors: results from a randomized mixed method study. ( 0,455828607213217 )
J Telemed Telecare - Tele-EEG in the UK: a report of over 1,000 patients. ( 0,455771818998807 )
J. Med. Internet Res. - Acceptability of online self-help to people with depression: users' views of MoodGYM versus informational websites. ( 0,455672293176334 )
J Telemed Telecare - Evaluation of a telemedical care programme for patients with Parkinson's disease. ( 0,45423270438945 )
J. Med. Internet Res. - Quantifying short-term dynamics of Parkinson's disease using self-reported symptom data from an Internet social network. ( 0,45390320388106 )
AMIA Annu Symp Proc - You can lead a horse to water: physicians' responses to clinical reminders. ( 0,453693198096776 )
Med Biol Eng Comput - Objective measure of sleepiness and sleep latency via bispectrum analysis of EEG. ( 0,453529413800608 )
Telemed J E Health - Feasibility and impact of telemonitor-based depression care management for geriatric homecare patients. ( 0,453089166058569 )
J. Med. Internet Res. - Attrition in web-based treatment for problem drinkers. ( 0,453060064787636 )
J. Med. Internet Res. - Comparing in-person to videoconference-based cognitive behavioral therapy for mood and anxiety disorders: randomized controlled trial. ( 0,452661771093106 )
BMC Med Inform Decis Mak - Prevention praised, cure preferred: results of between-subjects experimental studies comparing (monetary) appreciation for preventive and curative interventions. ( 0,451656202462728 )
J. Med. Internet Res. - A comparison of psychometric properties between internet and paper versions of two depression instruments (BDI-II and MADRS-S) administered to clinic patients. ( 0,451522956877971 )
J Clin Monit Comput - Noninvasive assessment of peripheral microcirculation by near-infrared spectroscopy: a comparative study in healthy smoking and nonsmoking volunteers. ( 0,4513076218994 )
Appl Clin Inform - Assessment of readiness for clinical decision support to aid laboratory monitoring of immunosuppressive care at U.S. liver transplant centers. ( 0,449521802693239 )
Med Biol Eng Comput - Strategy for NSAID administration to aspirin-intolerant asthmatics in combination with PGE2 analogue: a theoretical approach. ( 0,449314158139557 )
Int J Med Inform - SMS reminders improve adherence to oral medication in type 2 diabetes patients who are real time electronically monitored. ( 0,449225820609977 )
BMC Med Inform Decis Mak - Implementation and evaluation of a nurse-centered computerized potassium regulation protocol in the intensive care unit--a before and after analysis. ( 0,44913180688557 )
Med Decis Making - Knowledge, attitudes, and self-efficacy as predictors of preparedness for oncology clinical trials: a mediational model. ( 0,449062721544267 )