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

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

Preemptive Anticoagulation in Patients With a High Pretest Probability of Pulmonary Embolism

Autor: Valerie T. Aston, James F. Lloyd, Joseph Bledsoe, Daniel M. Adams, Scott C. Woller, Scott M. Stevens, C. Gregory Elliott, Emily L. Wilson, R. Scott Evans, Laura Willoughby

Publikováno v: Chest. 153:1153-1159

Background Guidelines suggest anticoagulation of patients with high pretest probability of pulmonary embolism (PE) while awaiting diagnostic test results (preemptive anticoagulation). Data relevant to the practice of preemptive anticoagulation are no

Externí odkaz: https://explore.openaire.eu/search/publication?articleId=doi_________::6309ef40d4d85d889e3948c9387ee67d
https://doi.org/10.1016/j.chest.2017.11.007

Impact of Implementing Antibiotic Stewardship Programs in 15 Small Hospitals: A Cluster-Randomized Intervention

Autor: R. Scott Evans, Adam L. Hersh, Tom Greene, John P. Burke, Andrew T. Pavia, Bert K. Lopansri, Edward Stenehjem, Xiaoming Sheng, Whitney R. Buckel, Peter S. Jones, Rajendu Srivastava

Publikováno v: Clinical Infectious Diseases. 67:525-532

Background Studies on the implementation of antibiotic stewardship programs (ASPs) in small hospitals are limited. Accreditation organizations now require all hospitals to have ASPs. Methods The objective of this cluster-randomized intervention was t

Externí odkaz: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::205661536158e41c40d2f2554e02c36e
https://doi.org/10.1093/cid/ciy155

Risk score-guided multidisciplinary team-based Care for Heart Failure Inpatients is associated with lower 30-day readmission and lower 30-day mortality

Autor: James F. Lloyd, Rami Alharethi, Colleen Roberts, Jalisa Cruz, Benjamin D. Horne, Abdallah G. Kfoury, Jason Buckway, Donald L Lappe, Kismet Rasmusson, R. Scott Evans, Tami L Bair

Publikováno v: American heart journal. 219

Using augmented intelligence clinical decision tools and a risk score-guided multidisciplinary team-based care process (MTCP), this study evaluated the MTCP for heart failure (HF) patients' 30-day readmission and 30-day mortality across 20 Intermount

Externí odkaz: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6654c81ccbe622a72dc6cba021ed9fa3
https://pubmed.ncbi.nlm.nih.gov/31739181