J Am Med Inform Assoc - Effectiveness of an automated surveillance system for intensive care unit-acquired infections.

Tópicos

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

Resumo

This study assessed the effectiveness of a fully automated surveillance system for the detection of healthcare-associated infections (HCAIs) in intensive care units. Manual ward surveillance (MS) and electronic surveillance (ES) were performed for two intensive care units of the Vienna General Hospital. All patients admitted for a period longer than 48 h between 13 November 2006 and 7 February 2007 were evaluated according to HELICS-defined rules for HCAI. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and personnel time spent per surveillance type were calculated. Ninety-three patient admissions were observed, whereby 30 HCAI episodes were taken as a reference standard. Results with MS versus ES were: sensitivity 40% versus 87%, specificity 94% versus 99%, PPV 71% versus 96%, NPV 80% versus 95%, and time spent per surveillance type 82.5 h versus 12.5 h. In conclusion, ES was found to be more effective than MS while consuming fewer personnel resources.

Resumo Limpo

studi assess effect fulli autom surveil system detect healthcareassoci infect hcai intens care unit manual ward surveil ms electron surveil es perform two intens care unit vienna general hospit patient admit period longer h novemb februari evalu accord helicsdefin rule hcai sensit specif posit predict valu ppv negat predict valu npv personnel time spent per surveil type calcul ninetythre patient admiss observ wherebi hcai episod taken refer standard result ms versus es sensit versus specif versus ppv versus npv versus time spent per surveil type h versus h conclus es found effect ms consum fewer personnel resourc

Resumos Similares

J Med Syst - Variability of subspecialty-specific anesthesia-controlled times at two academic institutions. ( 0,741005509576764 )
Int J Med Inform - Effects of electronic medical record in a Chinese hospital: a time series study. ( 0,707347068874012 )
Int J Med Robot - Novel computer-assisted preoperative planning system for humeral shaft fractures: report of 43 cases. ( 0,70546229614644 )
Med Decis Making - Patient time costs associated with sensor-augmented insulin pump therapy for type 1 diabetes: results from the STAR 3 randomized trial. ( 0,698724599411739 )
J. Med. Internet Res. - Online social network use by health care providers in a high traffic patient care environment. ( 0,692676564010035 )
BMC Med Inform Decis Mak - Relationship between the population incidence of pertussis in children in New South Wales, Australia and emergency department visits with cough: a time series analysis. ( 0,68224278399149 )
Telemed J E Health - Detection of asymptomatic paroxysmal atrial fibrillation with the trans-telephonic electrocardiograph system. ( 0,67902686623451 )
J. Med. Internet Res. - Web-based cognitive training: patient adherence and intensity of treatment in an outpatient memory clinic. ( 0,674760968457844 )
J. Med. Internet Res. - Clinical outcome and cost-effectiveness of a synchronous telehealth service for seniors and nonseniors with cardiovascular diseases: quasi-experimental study. ( 0,66872440813584 )
Int J Med Inform - Prospective pilot study of a tablet computer in an Emergency Department. ( 0,663003382217938 )
J Telemed Telecare - Using telemonitoring to construct knowledge about homebound patient populations: vital-signs alert rates. ( 0,657233467928062 )
Telemed J E Health - Robotic telepresence versus standardly supervised stroke alert team assessments. ( 0,652710296474832 )
Appl Clin Inform - Healthcare Information Systems to Assess Influenza Outbreaks: An analysis of the 2009 H1N1 Epidemic in Buenos Aires. ( 0,649311378491568 )
Med Decis Making - Time lost by driving fast in the United States. ( 0,639973056754186 )
Int J Med Inform - Effects of a short text message reminder system on emergency department length of stay. ( 0,639496136870784 )
J. Med. Internet Res. - An analysis of online evaluations on a physician rating website: evidence from a German public reporting instrument. ( 0,635922061489735 )
Int J Med Inform - Implementation of computerized provider order entry in a neonatal intensive care unit: Impact on admission workflow. ( 0,635433463488439 )
J Telemed Telecare - Utilization of home telemonitoring in patients 75 years of age and over with complex heart failure. ( 0,631805304784105 )
J Telemed Telecare - Evaluation of a telemedical care programme for patients with Parkinson's disease. ( 0,624481553937531 )
Telemed J E Health - Hot spot: impact of July 2011 heat wave in southern Italy (Apulia) on cardiovascular disease assessed by emergency medical service and telemedicine support. ( 0,622562510020137 )
J Med Syst - A novel medium access control protocol with low delay and traffic adaptivity for wireless body area networks. ( 0,621829929274589 )
J Telemed Telecare - A hybrid approach to telepathology in Cambodia. ( 0,618811698019954 )
J. Med. Internet Res. - A novel evaluation of World No Tobacco day in Latin America. ( 0,613616994463152 )
J Clin Monit Comput - Impact of non invasive and beat-to-beat arterial pressure monitoring on intraoperative hemodynamic management. ( 0,612900623663892 )
J Am Med Inform Assoc - Full impact of laboratory information system requires direct use by clinical staff: cluster randomized controlled trial. ( 0,612144689979124 )
Artif Intell Med - The auditory P300-based single-switch brain-computer interface: paradigm transition from healthy subjects to minimally conscious patients. ( 0,611132973587034 )
Spat Spatiotemporal Epidemiol - Incorporating retrospective clustering into a prospective Cusum methodology for anthrax: evaluating the effects of disease expectation. ( 0,610948269874918 )
J Telemed Telecare - Telemedicine-supported insulin optimisation in primary care. ( 0,610426409956137 )
Comput Methods Programs Biomed - Influenza vaccination and reduction in risk of ischemic heart disease among chronic obstructive pulmonary elderly. ( 0,609881634566773 )
J Telemed Telecare - Training the allied health assistant for the telerehabilitation assessment of dysphagia. ( 0,608957765771272 )
Telemed J E Health - Is telemedicine an answer to reducing 30-day readmission rates post-acute myocardial infarction? ( 0,608452773795641 )
J Clin Monit Comput - Electrocardiogram characteristics prior to in-hospital cardiac arrest. ( 0,606187286377814 )
Int J Neural Syst - Cortical excitability and refractory epilepsy: a three-year longitudinal transcranial magnetic stimulation study. ( 0,605874415499487 )
Comput. Biol. Med. - Sensitivity analysis of state-transition models: how to deal with a large number of inputs. ( 0,605193860883589 )
J. Comput. Biol. - Easy identification of generalized common and conserved nested intervals. ( 0,604598505266155 )
J Clin Monit Comput - Validity and reliability of the Cold Discomfort Scale: a subjective judgement scale for the assessment of patient thermal state in a cold environment. ( 0,604333537837659 )
Appl Clin Inform - Evaluating the impact of the electronic health record on patient flow in a pediatric emergency department. ( 0,603671363900622 )
Telemed J E Health - Emergency department physician telemedical triage. ( 0,603056967625835 )
J Telemed Telecare - A longitudinal study of health service utilization for diabetes patients in a care coordination home-telehealth programme. ( 0,602963642472016 )
J Telemed Telecare - A pilot project for improving paediatric diabetes outcomes using a website: the Pediatric Diabetes Education Portal. ( 0,602743843631198 )
Int J Med Inform - The positive financial impact of using an Intensive Care Information System in a tertiary Intensive Care Unit. ( 0,602141605767395 )
Telemed J E Health - Improved access and cycle time with an in-house patient-centered teleglaucoma program versus traditional in-person assessment. ( 0,599554556889237 )
J Biomed Inform - Method selection and adaptation for distributed monitoring of infectious diseases for syndromic surveillance. ( 0,598416086455432 )
Int J Health Geogr - Novel measurement of spreading pattern of influenza epidemic by using weighted standard distance method: retrospective spatial statistical study of influenza, Japan, 1999-2009. ( 0,595475511573119 )
Int J Med Robot - Transoral robotic surgery vs transoral laser microsurgery for resection of supraglottic cancer: a pilot surgery. ( 0,595333273013983 )
J Clin Monit Comput - Intraoperative ICG plasma disappearance rate helps to predict absence of early postoperative complications after orthotopic liver transplantation. ( 0,595101465184456 )
J Telemed Telecare - A telepsychiatry transition clinic: the first 12 months experience. ( 0,592518201116734 )
Int J Med Robot - Training to maintain surgical skills during periods of robotic surgery inactivity. ( 0,592131878462659 )
J. Med. Internet Res. - Patients' continuing use of an online health record: a quantitative evaluation of 14,000 patient years of access data. ( 0,591848233845748 )
Int J Med Inform - The absence of longitudinal data limits the accuracy of high-throughput clinical phenotyping for identifying type 2 diabetes mellitus subjects. ( 0,589714852254581 )
Telemed J E Health - Telestroke in an urban setting. ( 0,589097958751928 )
J Telemed Telecare - Non-response in telephone surveys of COPD patients does not introduce bias. ( 0,589029001254002 )
J Clin Monit Comput - The effect of preoperative consumption of potatoes on succinylcholine-induced block and recovery from anesthesia. ( 0,588171234636568 )
J. Med. Internet Res. - Online doctor reviews: do they track surgeon volume, a proxy for quality of care? ( 0,584165839200326 )
BMC Med Inform Decis Mak - Real-time automatic hospital-wide surveillance of nosocomial infections and outbreaks in a large Chinese tertiary hospital. ( 0,580202421693045 )
Med Biol Eng Comput - Quantitative measurement of hip protector use and compliance. ( 0,579167113821985 )
Appl Clin Inform - Effects of automated immunization registry reporting via an electronic health record deployed in community practice settings. ( 0,579025507060722 )
J. Med. Internet Res. - Impact of health portal enrollment with email reminders on adherence to clinic appointments: a pilot study. ( 0,578527918494613 )
BMC Med Inform Decis Mak - Detecting and diagnosing hotspots for the enhanced management of hospital Emergency Departments in Queensland, Australia. ( 0,575270253281368 )
J. Med. Internet Res. - Importance of Internet surveillance in public health emergency control and prevention: evidence from a digital epidemiologic study during avian influenza A H7N9 outbreaks. ( 0,575099771821048 )
Int J Med Robot - Angiographic evaluation of graft patency in robotic-assisted coronary artery bypass surgery: 8 year follow-up. ( 0,574683703625528 )
J Telemed Telecare - A pilot trial of telemedicine-assisted, integrated care for patients with advanced amyotrophic lateral sclerosis and their caregivers. ( 0,572667325307421 )
Int J Med Inform - Implementation and evaluation of an integrated computerized asthma management system in a pediatric emergency department: a randomized clinical trial. ( 0,565999626167469 )
Med Biol Eng Comput - All night analysis of time interval between snores in subjects with sleep apnea hypopnea syndrome. ( 0,56568991362654 )
Int J Med Robot - Cerebral oxygenation measured by near-infrared spectroscopy and jugular vein oxygen saturation during robotic-assisted laparoscopic radical prostatectomy under total intravenous anaesthesia. ( 0,56488968048498 )
Int J Med Robot - Totally robotic right colectomy: a preliminary case series and an overview of the literature. ( 0,564301465800755 )
Comput. Biol. Med. - Recurring patterns of atrial fibrillation in surface ECG predict restoration of sinus rhythm by catheter ablation. ( 0,563811249872996 )
Int J Med Robot - Robotic-assisted pancreatic resection: a report of 47 cases. ( 0,55979410101628 )
J Clin Monit Comput - Skin conductance for monitoring of acute pain in adult postoperative patients: influence of electrode surface area and sampling time. ( 0,559558507984944 )
Med Biol Eng Comput - Online apnea-bradycardia detection based on hidden semi-Markov models. ( 0,55680903844207 )
Int J Health Geogr - A validation of ground ambulance pre-hospital times modeled using geographic information systems. ( 0,556212783013715 )
Comput. Biol. Med. - Quantification of the acute effect of a low dose of red wine by nonlinear measures of RR and QT interval series in healthy subjects. ( 0,554238385480452 )
J Am Med Inform Assoc - Use of electronic clinical documentation: time spent and team interactions. ( 0,55381939339273 )
Appl Clin Inform - A Computerized Alert Screening for Severe Sepsis in Emergency Department Patients Increases Lactate Testing but does not Improve Inpatient Mortality. ( 0,552545600839198 )
J. Med. Internet Res. - Assessment of the cost-effectiveness and clinical outcomes of a fourth-generation synchronous telehealth program for the management of chronic cardiovascular disease. ( 0,552466606704799 )
Int J Med Robot - Robot-assisted adrenalectomy: a technical option for the surgeon? ( 0,552191719029468 )
Telemed J E Health - Development of a telehealthcare decision support system for patients discharged from the hospital. ( 0,551883849446412 )
J Telemed Telecare - Factors affecting frequency of patient use of Internet-based telemedicine to manage cardiovascular disease risk. ( 0,551679419122453 )
J Am Med Inform Assoc - Performance factors of mobile rich media job aids for community health workers. ( 0,551490349270023 )
J Am Med Inform Assoc - Improving patient safety via automated laboratory-based adverse event grading. ( 0,548984652475616 )
Telemed J E Health - Streamlining HIV testing in the emergency department-leveraging kiosks to provide true universal screening: a usability study. ( 0,548229846190694 )
Telemed J E Health - Clinical and economic impact of remote monitoring on the follow-up of patients with implantable electronic cardiovascular devices: an observational study. ( 0,54660606540057 )
Sci Data - Microclim: Global estimates of hourly microclimate based on long-term monthly climate averages. ( 0,546428517396435 )
Med Decis Making - Trends in medical end-of-life decision making in Flanders, Belgium 1998-2001-2007. ( 0,546413599928773 )
Telemed J E Health - Geomapping telehealth access to developmental-behavioral pediatrics. ( 0,544975748532949 )
Int J Comput Assist Radiol Surg - Computer-aided focal liver lesion detection. ( 0,544719645425042 )
J Telemed Telecare - Relation between telecare implementation and number of treatment days in a Japanese town. ( 0,540869877401985 )
Int J Med Robot - Surgical and pathological outcomes after right hemicolectomy: case-matched study comparing robotic and open surgery. ( 0,540770825612253 )
J Clin Monit Comput - Noninvasive assessment of peripheral microcirculation by near-infrared spectroscopy: a comparative study in healthy smoking and nonsmoking volunteers. ( 0,537340967865655 )
Telemed J E Health - Telephotography in trauma: a 2-year clinical experience. ( 0,535539251265054 )
Healthc (Amst) - Effects of implementing a protocol for arterial blood gas use on ordering practices and diagnostic yield. ( 0,534466551698374 )
IEEE J Biomed Health Inform - The manumeter: a wearable device for monitoring daily use of the wrist and fingers. ( 0,533847387083464 )
J Telemed Telecare - A pilot study of a tool to stimulate physical activity in patients with COPD or type 2 diabetes in primary care. ( 0,530464856021553 )
Int J Med Robot - Robot-assisted laparoscopic management of cardia carcinoma according to Siewert recommendations. ( 0,530199778030988 )
Int J Health Geogr - Influence of satellite-derived rainfall patterns on plague occurrence in northeast Tanzania. ( 0,529797129377703 )
Comput Math Methods Med - An SIRS epidemic model incorporating media coverage with time delay. ( 0,529376115016342 )
Int J Med Robot - Robotic-assisted laparoscopic abdominoperineal resection for anal cancer: feasibility and technical considerations. ( 0,529059648636498 )
Telemed J E Health - The time effectiveness of three-dimensional telediagnostic postural screening of back curvatures and scoliosis. ( 0,528557618861058 )
BMC Med Inform Decis Mak - Is increasing complexity of algorithms the price for higher accuracy? virtual comparison of three algorithms for tertiary level management of chronic cough in people living with HIV in a low-income country. ( 0,527555118381252 )
J Clin Monit Comput - Ultrasound-guided radial arterial cannulation: long axis/in-plane versus short axis/out-of-plane approaches? ( 0,527486604710231 )