Computer clinical decision support that automates personalized clinical care: a challenging but needed healthcare delivery strategy

Autor: Alan H Morris, Christopher Horvat, Brian Stagg, David W Grainger, Michael Lanspa, James Orme, Terry P Clemmer, Lindell K Weaver, Frank O Thomas, Colin K Grissom, Ellie Hirshberg, Thomas D East, Carrie Jane Wallace, Michael P Young, Dean F Sittig, Mary Suchyta, James E Pearl, Antinio Pesenti, Michela Bombino, Eduardo Beck, Katherine A Sward, Charlene Weir, Shobha Phansalkar, Gordon R Bernard, B Taylor Thompson, Roy Brower, Jonathon Truwit, Jay Steingrub, R Duncan Hiten, Douglas F Willson, Jerry J Zimmerman, Vinay Nadkarni, Adrienne G Randolph, Martha A Q Curley, Christopher J L Newth, Jacques Lacroix, Michael S D Agus, Kang Hoe Lee, Bennett P deBoisblanc, Frederick Alan Moore, R Scott Evans, Dean K Sorenson, Anthony Wong, Michael V Boland, Willard H Dere, Alan Crandall, Julio Facelli, Stanley M Huff, Peter J Haug, Ulrike Pielmeier, Stephen E Rees, Dan S Karbing, Steen Andreassen, Eddy Fan, Roberta M Goldring, Kenneth I Berger, Beno W Oppenheimer, E Wesley Ely, Brian W Pickering, David A Schoenfeld, Irena Tocino, Russell S Gonnering, Peter J Pronovost, Lucy A Savitz, Didier Dreyfuss, Arthur S Slutsky, James D Crapo, Michael R Pinsky, Brent James, Donald M Berwick

Publikováno v: Morris, A H, Horvat, C, Stagg, B, Grainger, D W, Lanspa, M, Orme, J, Clemmer, T P, Weaver, L K, Thomas, F O, Grissom, C K, Hirshberg, E, East, T D, Wallace, C J, Young, M P, Sittig, D F, Suchyta, M, Pearl, J E, Pesenti, A, Bombino, M, Beck, E, Sward, K A, Weir, C, Phansalkar, S, Bernard, G R, Thompson, B T, Brower, R, Truwit, J, Steingrub, J, Hiten, R D, Willson, D F, Zimmerman, J J, Nadkarni, V, Randolph, A G, Curley, M A Q, Newth, C J L, Lacroix, J, Agus, M S D, Lee, K H, deBoisblanc, B P, Moore, F A, Evans, R S, Sorenson, D K, Wong, A, Boland, M V, Dere, W H, Crandall, A, Facelli, J, Huff, S M, Haug, P J, Pielmeier, U, Rees, S E, Karbing, D S, Andreassen, S, Fan, E, Goldring, R M, Berger, K I, Oppenheimer, B W, Ely, E W, Pickering, B W, Schoenfeld, D A, Tocino, I, Gonnering, R S, Pronovost, P J, Savitz, L A, Dreyfuss, D, Slutsky, A S, Crapo, J D, Pinsky, M R, James, B & Berwick, D M 2022, ' Computer clinical decision support that automates personalized clinical care : a challenging but needed healthcare delivery strategy ', Journal of the American Medical Informatics Association, vol. 30, no. 1, pp. 178-194 . https://doi.org/10.1093/jamia/ocac143

How to deliver best care in various clinical settings remains a vexing problem. All pertinent healthcare-related questions have not, cannot, and will not be addressable with costly time- and resource-consuming controlled clinical trials. At present,

Externí odkaz: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::83b6c6925909e2d340b34ac7b62d586b
https://pubmed.ncbi.nlm.nih.gov/36125018

Magnetic resonance imaging–guided cryoballoon ablation for left atrial substrate modification in patients with atrial fibrillation

Autor: Alan H. Morris, Ibolya Csecs, Alex Baher, Nassir F. Marrouche, Gagandeep Kaur, Bettina Kirstein, Eugene G. Kholmovski, Mobin Kheirkhahan

Publikováno v: Journal of Cardiovascular Electrophysiology. 31:1587-1594

Background Cryoballoon ablation (CBA) for pulmonary vein isolation (PVI) is an established modality for the treatment of atrial fibrillation (AF). We report feasibility of left atrial (LA) substrate modification in addition to PVI both using the cryo

Externí odkaz: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6fd7c8b37ce9e49af5f3155314da945b
https://doi.org/10.1111/jce.14551

Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions

Autor: Jacques Lacroix, Roy G. Brower, Katherine A. Sward, Derek C. Angus, Jay S. Steingrub, Arthur S. Slutsky, Stanley M. Huff, Jonathon D. Truwit, Antonio Pesenti, Kenneth I. Berger, Ognjen Gajic, Adrienne G. Randolph, Beno W. Oppenheimer, E. Wesley Ely, Brent C. James, Bennett P. deBoisblanc, James F. Orme, Alan H. Morris, Thomas D. East, Steen Andreassen, Charlene R. Weir, Anthony Wong, Peter J. Pronovost, Michael V. Boland, Vinay M. Nadkarni, Lindell K. Weaver, Lucy Savitz, Dean F. Sittig, Julio C. Facelli, Alan S. Crandall, Colin K. Grissom, Ellie Hirshberg, David W. Grainger, R. Duncan Hite, Jerry J. Zimmerman, Michael S. D. Agus, Gordon R. Bernard, B. Taylor Thompson, Christopher J. L. Newth, Douglas F. Willson, Shobha Phansalkar, Didier Dreyfuss, Stephen Edward Rees, Willard H. Dere, Carrie Jane Wallace, Eduardo Beck, Roberta M. Goldring, R. Scott Evans, Brian C. Stagg, Martha A. Q. Curley, Dean K. Sorenson, Russell S. Gonnering, Brian W. Pickering, David A. Schoenfeld, Dan Stieper Karbing, Irena Tocino, Eddy Fan, Michael P. Young, Michela Bombino, Michael J. Lanspa, James D. Crapo, Michael R. Pinsky, Ulrike Pielmeier, Frank Thomas, Kang H. Lee, Terry P. Clemmer, Donald M. Berwick, Peter J. Haug

Publikováno v: Morris, A H, Stagg, B, Lanspa, M, Orme, J, Clemmer, T P, Weaver, L K, Thomas, F, Grissom, C K, Hirshberg, E, East, T D, Wallace, C J, Young, M P, Sittig, D F, Pesenti, A, Bombino, M, Beck, E, Sward, K A, Weir, C, Phansalkar, S S, Bernard, G R, Taylor Thompson, B, Brower, R, Truwit, J D, Steingrub, J, Duncan Hite, R, Willson, D F, Zimmerman, J J, Nadkarni, V M, Randolph, A, Curley, M A Q, Newth, C J L, Lacroix, J, Agus, M S D, Lee, K H, deBoisblanc, B P, Scott Evans, R, Sorenson, D K, Wong, A, Boland, M V, Grainger, D W, Dere, W H, Crandall, A S, Facelli, J C, Huff, S M, Haug, P J, Pielmeier, U, Rees, S E, Karbing, D S, Andreassen, S, Fan, E, Goldring, R, I Berger, K, W Oppenheimer, B, Ely, E W, Gajic, O, Pickering, B, A Schoenfeld, D, Tocino, I, S Gonnering, R, J Pronovost, P, A Savitz, L, Dreyfuss, D, S Slutsky, A, D Crapo, J, Angus, D, R Pinsky, M, James, B & Berwick, D 2021, ' Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions ', Journal of the American Medical Informatics Association, vol. 28, no. 6, pp. 1330-1344 . https://doi.org/10.1093/jamia/ocaa294
J Am Med Inform Assoc

Clinical decision-making is based on knowledge, expertise, and authority, with clinicians approving almost every intervention—the starting point for delivery of “All the right care, but only the right care,” an unachieved healthcare quality imp

Externí odkaz: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6063b8fbca48a8de3665ab0cc6462033
https://vbn.aau.dk/da/publications/4df7c2e3-e678-4f2b-a3c9-cfc7a2de924f

Lower Glucose Target Is Associated With Improved 30-Day Mortality in Cardiac and Cardiothoracic Patients

Autor: Alan H. Morris, Emily L. Wilson, Michael J. Lanspa, Eliotte L. Hirshberg, Andrew M. Hersh, James F. Orme

Publikováno v: Chest. 154:1044-1051

Practice guidelines recommend against intensive insulin therapy in patients who are critically ill based on trials that had high rates of severe hypoglycemia. Intermountain Healthcare uses a computerized IV insulin protocol that allows choice of bloo

Externí odkaz: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f3c66af01f95cc1d15429eae4fbed0f2
https://doi.org/10.1016/j.chest.2018.04.025

Airflow Obstruction Categorization Methods and Mortality

Autor: Robert L. Jensen, Dave S. Collingridge, Thomas W. DeCato, Matthew J. Hegewald, Alan H. Morris

Publikováno v: Annals of the American Thoracic Society. 15:920-925

Current guidelines recommend using forced expiratory volume in 1 second (FEVOur objectives were to categorize airflow obstruction severity using these methods and then determine which method results in a categorization most closely associated with mo

Externí odkaz: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4ccc0457914412907537e16093b6b4a4
https://doi.org/10.1513/annalsats.201802-104oc