J Am Med Inform Assoc - Syndromic surveillance for health information system failures: a feasibility study.

Tópicos

{ detect(2391) sensit(1101) algorithm(908) }
{ data(2317) use(1299) case(1017) }
{ error(1145) method(1030) estim(1020) }
{ monitor(1329) mobil(1314) devic(1160) }
{ ehr(2073) health(1662) electron(1139) }
{ risk(3053) factor(974) diseas(938) }
{ design(1359) user(1324) use(1319) }
{ survey(1388) particip(1329) question(1065) }
{ patient(2315) diseas(1263) diabet(1191) }
{ estim(2440) model(1874) function(577) }
{ activ(1452) weight(1219) physic(1104) }
{ system(1976) rule(880) can(841) }
{ time(1939) patient(1703) rate(768) }
{ inform(2794) health(2639) internet(1427) }
{ control(1307) perform(991) simul(935) }
{ perform(1367) use(1326) method(1137) }
{ model(3480) simul(1196) paramet(876) }
{ health(1844) social(1437) communiti(874) }
{ high(1669) rate(1365) level(1280) }
{ featur(3375) classif(2383) classifi(1994) }
{ network(2748) neural(1063) input(814) }
{ treatment(1704) effect(941) patient(846) }
{ framework(1458) process(801) describ(734) }
{ research(1085) discuss(1038) issu(1018) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ patient(2837) hospit(1953) medic(668) }
{ medic(1828) order(1363) alert(1069) }
{ drug(1928) target(777) effect(648) }
{ method(2212) result(1239) propos(1039) }
{ 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) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ imag(2830) propos(1344) filter(1198) }
{ imag(2675) segment(2577) method(1081) }
{ take(945) account(800) differ(722) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ problem(2511) optim(1539) algorithm(950) }
{ 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) }
{ data(1714) softwar(1251) tool(1186) }
{ 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) }
{ studi(1410) differ(1259) use(1210) }
{ perform(999) metric(946) measur(919) }
{ system(1050) medic(1026) inform(1018) }
{ import(1318) role(1303) understand(862) }
{ compound(1573) activ(1297) structur(1058) }
{ studi(1119) effect(1106) posit(819) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ record(1888) medic(1808) patient(1693) }
{ health(3367) inform(1360) care(1135) }
{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ model(2656) set(1616) predict(1553) }
{ age(1611) year(1155) adult(843) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ 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) }
{ structur(1116) can(940) graph(676) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ method(1969) cluster(1462) data(1082) }

Resumo

JECTIVE: To explore the applicability of a syndromic surveillance method to the early detection of health information technology (HIT) system failures.METHODS: A syndromic surveillance system was developed to monitor a laboratory information system at a tertiary hospital. Four indices were monitored: (1) total laboratory records being created; (2) total records with missing results; (3) average serum potassium results; and (4) total duplicated tests on a patient. The goal was to detect HIT system failures causing: data loss at the record level; data loss at the field level; erroneous data; and unintended duplication of data. Time-series models of the indices were constructed, and statistical process control charts were used to detect unexpected behaviors. The ability of the models to detect HIT system failures was evaluated using simulated failures, each lasting for 24 h, with error rates ranging from 1% to 35%.RESULTS: In detecting data loss at the record level, the model achieved a sensitivity of 0.26 when the simulated error rate was 1%, while maintaining a specificity of 0.98. Detection performance improved with increasing error rates, achieving a perfect sensitivity when the error rate was 35%. In the detection of missing results, erroneous serum potassium results and unintended repetition of tests, perfect sensitivity was attained when the error rate was as small as 5%. Decreasing the error rate to 1% resulted in a drop in sensitivity to 0.65-0.85.CONCLUSIONS: Syndromic surveillance methods can potentially be applied to monitor HIT systems, to facilitate the early detection of failures.

Resumo Limpo

jectiv explor applic syndrom surveil method earli detect health inform technolog hit system failuresmethod syndrom surveil system develop monitor laboratori inform system tertiari hospit four indic monitor total laboratori record creat total record miss result averag serum potassium result total duplic test patient goal detect hit system failur caus data loss record level data loss field level erron data unintend duplic data timeseri model indic construct statist process control chart use detect unexpect behavior abil model detect hit system failur evalu use simul failur last h error rate rang result detect data loss record level model achiev sensit simul error rate maintain specif detect perform improv increas error rate achiev perfect sensit error rate detect miss result erron serum potassium result unintend repetit test perfect sensit attain error rate small decreas error rate result drop sensit conclus syndrom surveil method can potenti appli monitor hit system facilit earli detect failur

Resumos Similares

J Am Med Inform Assoc - Adjusting outbreak detection algorithms for surveillance during epidemic and non-epidemic periods. ( 0,796672923846142 )
BMC Med Inform Decis Mak - Evaluation of syndromic algorithms for detecting patients with potentially transmissible infectious diseases based on computerised emergency-department data. ( 0,790127774920236 )
Int J Comput Assist Radiol Surg - Hybrid method for the detection of pulmonary nodules using positron emission tomography/computed tomography: a preliminary study. ( 0,745216597530659 )
J Am Med Inform Assoc - Phenotyping for patient safety: algorithm development for electronic health record based automated adverse event and medical error detection in neonatal intensive care. ( 0,727469208015875 )
Med Biol Eng Comput - Analysis of retinal fundus images for grading of diabetic retinopathy severity. ( 0,725080366463521 )
Med Biol Eng Comput - Quasi real-time gait event detection using shank-attached gyroscopes. ( 0,707331817603511 )
J Clin Monit Comput - Detection of endobronchial intubation by monitoring the CO2 level above the endotracheal cuff. ( 0,700720824988768 )
Int J Neural Syst - Automated seizure detection using EKG. ( 0,696648283135086 )
Methods Inf Med - Wireless LAN security management with location detection capability in hospitals. ( 0,675512587852642 )
Comput Math Methods Med - Mobile personal health system for ambulatory blood pressure monitoring. ( 0,673964952434467 )
J Clin Monit Comput - Pulse oximetry saturation patterns detect repetitive reductions in airflow. ( 0,668041494824019 )
BMC Med Inform Decis Mak - Outbreak detection algorithms for seasonal disease data: a case study using Ross River virus disease. ( 0,66442804291133 )
Med Biol Eng Comput - GPU-based real-time detection and analysis of biological targets using solid-state nanopores. ( 0,660292922008829 )
AMIA Annu Symp Proc - Computer surveillance of patients at high risk for and with venous thromboembolism. ( 0,657907338733721 )
IEEE J Biomed Health Inform - Automatic identification and classification of muscle spasms in long-term EMG recordings. ( 0,644560672797871 )
J Am Med Inform Assoc - Use of computerized algorithm to identify individuals in need of testing for celiac disease. ( 0,64448348234935 )
Comput. Biol. Med. - Towards a social and context-aware multi-sensor fall detection and risk assessment platform. ( 0,639480935893184 )
Int J Med Inform - Validating an ontology-based algorithm to identify patients with type 2 diabetes mellitus in electronic health records. ( 0,638435073292167 )
IEEE Trans Pattern Anal Mach Intell - Robust Text Detection in Natural Scene Images. ( 0,63805436373245 )
BMC Med Inform Decis Mak - Manual and automated methods for identifying potentially preventable readmissions: a comparison in a large healthcare system. ( 0,632447914699107 )
Spat Spatiotemporal Epidemiol - Accuracy of prospective space-time surveillance in detecting tuberculosis transmission. ( 0,629696631862779 )
J. Med. Internet Res. - FluBreaks: early epidemic detection from Google flu trends. ( 0,628988236724163 )
J Am Med Inform Assoc - A benchmark comparison of deterministic and probabilistic methods for defining manual review datasets in duplicate records reconciliation. ( 0,628446737624632 )
Comput. Biol. Med. - A correlation analysis-based detection and delineation of ECG characteristic events using template waveforms extracted by ensemble averaging of clustered heart cycles. ( 0,626836488925053 )
AMIA Annu Symp Proc - Methods for identifying suicide or suicidal ideation in EHRs. ( 0,620663643814796 )
Comput. Biol. Med. - Automated detection of the osseous acetabular rim using three-dimensional models of the pelvis. ( 0,618008698165636 )
Appl Clin Inform - Development and validation of a portable platform for deploying decision-support algorithms in prehospital settings. ( 0,617192978493574 )
Int J Neural Syst - Kernel collaborative representation-based automatic seizure detection in intracranial EEG. ( 0,61258263122285 )
Comput. Biol. Med. - Automatic identification of fetal breathing movements in fetal RR interval time series. ( 0,61094925218436 )
J Med Syst - Field programmable gate array based fuzzy neural signal processing system for differential diagnosis of QRS complex tachycardia and tachyarrhythmia in noisy ECG signals. ( 0,610298586557337 )
AMIA Annu Symp Proc - A Weighty Problem: Identification, Characteristics and Risk Factors for Errors in EMR Data. ( 0,609690858979743 )
Comput. Biol. Med. - A user-operated test of suprathreshold acuity in noise for adult hearing screening: The SUN (Speech Understanding in Noise) test. ( 0,605349203333775 )
Telemed J E Health - HONEY: a multimodality fall detection and telecare system. ( 0,603573336898473 )
Comput Math Methods Med - Smart spotting of pulmonary TB cavities using CT images. ( 0,593982921473875 )
Appl Clin Inform - Towards prevention of acute syndromes: electronic identification of at-risk patients during hospital admission. ( 0,593436812248416 )
BMC Med Inform Decis Mak - Adverse drug events with hyperkalaemia during inpatient stays: evaluation of an automated method for retrospective detection in hospital databases. ( 0,588008655551115 )
Int J Comput Assist Radiol Surg - Computer-aided focal liver lesion detection. ( 0,587456082946945 )
AMIA Annu Symp Proc - Toward a two-tier clinical warning system for hospitalized patients. ( 0,586578117699458 )
Comput Methods Programs Biomed - Blood vessel segmentation methodologies in retinal images--a survey. ( 0,581857201946073 )
J Clin Monit Comput - The reliability of manual reporting of clinical events in an anesthesia information management system (AIMS). ( 0,580377348773569 )
J. Comput. Biol. - Feature detection with controlled error rates in LC/MS images. ( 0,579626102557336 )
Int J Comput Assist Radiol Surg - Combination of computer-aided detection algorithms for automatic lung nodule identification. ( 0,578998806924404 )
Comput. Biol. Med. - Early detection of epileptic seizures based on parameter identification of neural mass model. ( 0,575647869649794 )
J Clin Monit Comput - Detection of respiratory compromise by acoustic monitoring, capnography, and brain function monitoring during monitored anesthesia care. ( 0,574677751084938 )
Comput Methods Programs Biomed - Detection of heartbeat and respiration from optical interferometric signal by using wavelet transform. ( 0,574470215968017 )
Comput Math Methods Med - Hypovigilance detection for UCAV operators based on a hidden Markov model. ( 0,573288336636218 )
Comput Methods Programs Biomed - Unsupervised skin lesions border detection via two-dimensional image analysis. ( 0,57235895062183 )
Int J Comput Assist Radiol Surg - Detection and quantification of intracerebral and intraventricular hemorrhage from computed tomography images with adaptive thresholding and case-based reasoning. ( 0,571744935405535 )
Telemed J E Health - Automatic event detection in lung transplant recipients based on home monitoring of spirometry and symptoms. ( 0,571265532892047 )
Int J Comput Assist Radiol Surg - Automated measurement of mandibular cortical width on dental panoramic radiographs. ( 0,569224861573555 )
BMC Med Inform Decis Mak - Implementation of automated reporting of estimated glomerular filtration rate among Veterans Affairs laboratories: a retrospective study. ( 0,56892407303795 )
Comput. Biol. Med. - Real-time electrocardiogram P-QRS-T detection-delineation algorithm based on quality-supported analysis of characteristic templates. ( 0,566438294149823 )
J Telemed Telecare - Diabetic retinopathy screening using tele-ophthalmology in a primary care setting. ( 0,56366426921974 )
Med Decis Making - Comparing decisions for malaria testing and presumptive treatment: a net health benefit analysis. ( 0,560242057622272 )
J Biomed Inform - Controlling false match rates in record linkage using extreme value theory. ( 0,559762094727049 )
J Clin Monit Comput - Capability of a neck worn device to measure sleep/wake, airway position, and differentiate benign snoring from obstructive sleep apnea. ( 0,557447998124228 )
IEEE J Biomed Health Inform - Embedded DSP-based telehealth radar system for remote in-door fall detection. ( 0,55567099587578 )
J Biomed Inform - Automation of a high risk medication regime algorithm in a home health care population. ( 0,554927332653178 )
Med Biol Eng Comput - A robust method for online heart sound localization in respiratory sound based on temporal fuzzy c-means. ( 0,551366849749943 )
IEEE Trans Image Process - Lightweight detection of additive watermarking in the DWT-domain. ( 0,549840293154271 )
J Biomed Inform - Predictive combinations of monitor alarms preceding in-hospital code blue events. ( 0,547989192723807 )
Comput Math Methods Med - New estimators and guidelines for better use of fetal heart rate estimators with Doppler ultrasound devices. ( 0,547553405614699 )
Comput Methods Programs Biomed - Development of a model-based clinical sepsis biomarker for critically ill patients. ( 0,547268740450872 )
Int J Comput Assist Radiol Surg - Ventilatory impairment detection based on distribution of respiratory-induced changes in pixel values in dynamic chest radiography: a feasibility study. ( 0,546930210438866 )
AMIA Annu Symp Proc - Development and validation of an electronic phenotyping algorithm for chronic kidney disease. ( 0,546819657397795 )
BMC Med Inform Decis Mak - Improving sensitivity of machine learning methods for automated case identification from free-text electronic medical records. ( 0,546259863302721 )
Comput Methods Programs Biomed - An automated decision-support system for non-proliferative diabetic retinopathy disease based on MAs and HAs detection. ( 0,545653135767535 )
J Digit Imaging - Detection of the optic nerve head in fundus images of the retina with Gabor filters and phase portrait analysis. ( 0,54543075314787 )
Int J Neural Syst - Multi-instance dictionary learning for detecting abnormal events in surveillance videos. ( 0,543066001941653 )
Appl Clin Inform - Retrospective derivation and validation of a search algorithm to identify emergent endotracheal intubations in the intensive care unit. ( 0,541172142230601 )
Comput Math Methods Med - Reducing false alarms of intensive care online-monitoring systems: an evaluation of two signal extraction algorithms. ( 0,540635536328049 )
Int J Health Geogr - Automated surveillance of 911 call data for detection of possible water contamination incidents. ( 0,539327926211682 )
Methods Inf Med - Central sleep apnea detection from ECG-derived respiratory signals. Application of multivariate recurrence plot analysis. ( 0,53798876811256 )
J Am Med Inform Assoc - A novel method of adverse event detection can accurately identify venous thromboembolisms (VTEs) from narrative electronic health record data. ( 0,537388106997756 )
IEEE J Biomed Health Inform - Robust and sensitive video motion detection for sleep analysis. ( 0,535426940235867 )
BMC Med Inform Decis Mak - Diagnostic accuracy of a screening electronic alert tool for severe sepsis and septic shock in the emergency department. ( 0,534871463015414 )
Comput Methods Programs Biomed - Automated detection of exudates and macula for grading of diabetic macular edema. ( 0,534159250732768 )
Appl Clin Inform - Development and performance of electronic acute kidney injury triggers to identify pediatric patients at risk for nephrotoxic medication-associated harm. ( 0,532543569682283 )
Int J Comput Assist Radiol Surg - Diffusion tensor tractography of normal facial and vestibulocochlear nerves. ( 0,531997737241103 )
Int J Comput Assist Radiol Surg - Automated MR morphometry to predict Alzheimer's disease in mild cognitive impairment. ( 0,529402771000856 )
Artif Intell Med - Using a multi-agent system approach for microaneurysm detection in fundus images. ( 0,528486853660153 )
J Am Med Inform Assoc - Evaluation of generic medical information accessed via mobile phones at the point of care in resource-limited settings. ( 0,528370966740771 )
J Biomed Inform - Monitoring Obstructive Sleep Apnea by means of a real-time mobile system based on the automatic extraction of sets of rules through Differential Evolution. ( 0,526410329044973 )
Telemed J E Health - Predictable and reliable ECG monitoring over IEEE 802.11 WLANs within a hospital. ( 0,525213428045046 )
BMC Med Inform Decis Mak - Evaluation of an automated safety surveillance system using risk adjusted sequential probability ratio testing. ( 0,525198804784071 )
Methods Inf Med - Detection algorithm for single motor unit firing in surface EMG of the trapezius muscle. ( 0,523880625572372 )
IEEE Trans Pattern Anal Mach Intell - Automatic and Accurate Shadow Detection using Near-Infrared Information. ( 0,523779257633381 )
Comput Math Methods Med - Automated detection of healthy and diseased aortae from images obtained by contrast-enhanced CT scan. ( 0,52368486337986 )
Res Synth Methods - Methods for the joint meta-analysis of multiple tests. ( 0,520177844282678 )
Med Biol Eng Comput - Automatic breath-to-breath analysis of nocturnal polysomnographic recordings. ( 0,519011505205415 )
Artif Intell Med - Predicting the risk of exacerbation in patients with chronic obstructive pulmonary disease using home telehealth measurement data. ( 0,518961673821318 )
Lifetime Data Anal - Performance of goodness-of-fit tests for the Cox proportional hazards model with time-varying covariates. ( 0,518135471089236 )
Int J Comput Assist Radiol Surg - MRI-compatible positioning device for guiding a focused ultrasound system for transrectal treatment of prostate cancer. ( 0,516037859581994 )
IEEE Trans Pattern Anal Mach Intell - Online Learning and Sequential Anomaly Detection in Trajectories. ( 0,515143392446878 )
J Biomed Inform - Outlier detection for patient monitoring and alerting. ( 0,514610858198505 )
Int J Comput Assist Radiol Surg - Toward embedded detection of polyps in WCE images for early diagnosis of colorectal cancer. ( 0,51341321514357 )
Neural Comput - Information transmission using non-poisson regular firing. ( 0,512597628388019 )
J Biomed Inform - Learning Bayesian networks for clinical time series analysis. ( 0,511277273623041 )
Telemed J E Health - Prevalence of red flags among the internet user with low back pain seeking information on spinal health-a web survey. ( 0,510951603189661 )
Comput Methods Programs Biomed - Detection of c, d, and e waves in the acceleration photoplethysmogram. ( 0,510899178002201 )