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A Decision Support System for Pathology Test Result Reviews in an Emergency Department to Support Patient Safety and Increase Efficiency

Anthony Nguyen, Hamed Hassanzadeh, Yushi Zhang, John O'Dwyer, David Conlan, Michael Lawley, Jim Steel, Kylynn Loi, Peter Rizzo
2019 Studies in Health Technology and Informatics  
The review of pathology test results for missed diagnoses in Emergency Departments is time-consuming, laborious, and can be inaccurate.  ...  The system dramatically increases accuracy, efficiency, and supports patient safety by ensuring important diagnoses are recognized and correct antibiotics are prescribed.  ...  Infectious Disease Department for their domain expertise and advice; and Doreen Lelieveld for assisting Dr Peter Rizzo with the review of microbiology test results and discharge summaries for patient  ... 
doi:10.3233/shti190319 pmid:31438020 fatcat:zgmw377lwjgiljdsxh62bf6rwy

The impact of computerised physician order entry systems on pathology services: A systematic review

A GEORGIOU, M WILLIAMSON, J WESTBROOK, S RAY
2007 International Journal of Medical Informatics  
Such systems may include decision support mechanisms such as defined order sets for particular conditions in order to support the selection and appropriate use of tests and treatment; parameter checks  ...  We categorised these into three groups: studies comparing pathology CPOE systems (with no decision support) to paper systems; pathology CPOE systems (with decision support) to paper systems; and pathology  ...  Wales, and the New South Wales Health Department.  ... 
doi:10.1016/j.ijmedinf.2006.02.004 pmid:16567121 fatcat:e4vlbie3zfekvgb3p2j4xn6qai

Health Services Research

Fred Sanfilippo
2014 American Journal of Pathology  
An emerging area of decision support HSR in pathology is in direct patient interactions.  ...  Perhaps the greatest area of HSR impact for pathology is in the development of diagnostic decision support algorithms and tools for providers, payers, and patients.  ... 
doi:10.1016/j.ajpath.2014.06.007 pmid:25058028 fatcat:v74hkcpqdnczlevkaktzaiu2mi

The 2013 symposium on pathology data integration and clinical decision support and the current state of field

AnandS Dighe, JohnR Gilbertson, JohnM Higgins, BrianR Jackson, JiYeon Kim, VeronicaE Klepeis, LongP Le, DavidN Louis, Diana Mandelker, CraigH Mermel, JamesS Michaelson, Rakesh Nagarajan (+10 others)
2014 Journal of Pathology Informatics  
Another key theme related to the unique needs and challenges in providing decision support for genomics and other emerging diagnostic modalities.  ...  A bst r act Background: Pathologists and informaticians are becoming increasingly interested in electronic clinical decision support for pathology, laboratory medicine and clinical diagnosis.  ...  Carter et al. undertook an effort to understand why physicians transfuse patients in an ethnographic study and this is being followed by a study looking at decision support systems in the EHR that will  ... 
doi:10.4103/2153-3539.126145 pmid:24672737 pmcid:PMC3952400 fatcat:6vqh42e2m5aw5njjoacatcpp6a

Diagnostic Informatics—The Role of Digital Health in Diagnostic Stewardship and the Achievement of Excellence, Safety, and Value

Andrew Georgiou, Julie Li, Rae-Anne Hardie, Nasir Wabe, Andrea R. Horvath, Jeffrey J. Post, Alex Eigenstetter, Robert Lindeman, Que Lam, Tony Badrick, Christopher Pearce
2021 Frontiers in Digital Health  
safety and effectiveness of test result management and follow-up; and (3) digitally enhanced decision support systems.  ...  Diagnostic investigations (pathology laboratory and medical imaging) aim to: increase certainty of the presence or absence of disease by supporting the process of differential diagnosis; support clinical  ...  Australian Commission on Safety and Quality in Health Care.  ... 
doi:10.3389/fdgth.2021.659652 pmid:34713132 pmcid:PMC8521817 fatcat:ar2t7mdpwja5bgxwnhizwh2jle

The Association of Departmental Quality Infrastructure and Positive Change

Jody E. Hooper, Hazel Richardson, Amelia W. Maters, Karen C. Carroll, Peter J. Pronovost
2018 Academic Pathology  
The department has an independent continuous quality improvement unit and each laboratory of the department has a staff quality improvement representative.  ...  All phases of pathology patient care are represented by faculty and staff who are trained in quality improvement, and each position touches and communicates actively with levels above and below itself.  ...  Rapid assessment of diabetes was improved by the addition of a STAT hemoglobin A 1 c (HgA 1 c) to other tests available in the emergency department, resulting in an increase from less than 10% of specimens  ... 
doi:10.1177/2374289517744753 pmid:29376115 pmcid:PMC5777549 fatcat:yozth5dhuradjbgjyve6q27htq

The Impact for Patient Outcomes of Failure to Follow Up on Test Results. How Can We Do Better?

Joanne Callen, Andrew Georgiou, Julie Li, Johanna I Westbrook
2015 EJIFCC  
The World Health Organization-World Alliance for Patient Safety has identified test result management as a priority area.  ...  Over the last three decades there has been considerable growth in the number of requests for pathology and radiology services which has added to the complexity of how patient care is delivered and test  ...  The review reported the lack of follow-up of test results for hospitalized inpatients ranged from 20.04% to 61.6%, and 1.0% to 75% for patients treated in the Emergency Department (ED), when calculated  ... 
pmid:27683480 pmcid:PMC4975222 fatcat:u7uj2gg6wjeonfp5gjzxy4syeq

A systematic review of the cost-effectiveness of ultrasound in emergency care settings

Brian Lentz, Tiffany Fong, Randall Rhyne, Nicholas Risko
2021 The Ultrasound Journal  
We performed a systematic review of the literature following Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines.  ...  Studies were considered for inclusion if they were: (1) economic evaluations, (2) studied the clinical use of ultrasound, and (3) took place in an emergency care setting.  ...  an overall increase in number of US studies performed and the potential of other missed pathology [42] .  ... 
doi:10.1186/s13089-021-00216-8 pmid:33687607 fatcat:bjvrecxobvgqhmefjm4dgewqta

The Value Proposition for Pathologists: A Population Health Approach

Barbara S. Ducatman, Alan M. Ducatman, James M. Crawford, Michael Laposata, Fred Sanfilippo
2020 Academic Pathology  
The transition to a value-based payment system offers pathologists the opportunity to play an increased role in population health by improving outcomes and safety as well as reducing costs.  ...  Pathologists currently are heavily engaged in precision medicine, use of laboratory and pathology test results (including autopsy data) to reduce diagnostic errors, and play leading roles in diagnostic  ...  unsustainable, as it would result in an ever-increasing taxpayer burden for government subsidies. 2 Moreover, an increasing gap between demand and capacity without increased resources and efficiency  ... 
doi:10.1177/2374289519898857 pmid:31984223 pmcid:PMC6961144 fatcat:whgvoxzgajfnroekbt6m7ndteq

An Immune Memory and Negative Selection to Manage Tensions in Emergency Services

Mouna Berquedich, Oualid Kamach, Malek Masmoudi
2019 International Journal of Intelligent Engineering and Systems  
The expected benefits (main findings) for using the considered approach are not only to provide crisis managers with a relevant computerized decision support system, but also to minimize financial costs  ...  To meet these requirements, we dispose an agile approach of decision-making that addresses massive crowds occurring at the emergency departments.  ...  Triage of patients in the emergency department A distinction was made among scales of available patients for triage at the emergency department level.  ... 
doi:10.22266/ijies2019.0630.22 fatcat:4eg5b7e7ore7vk57bbvzypxis4

Outpatient versus inpatient superficial parotidectomy: clinical and pathological characteristics

Daniel J. Lee, David Forner, Christopher End, Christopher M. K. L. Yao, Shireen Samargandy, Eric Monteiro, Ian J. Witterick, Jeremy L. Freeman
2021 Journal of Otolaryngology - Head and Neck Surgery  
Results There were 238 patients included (124 in outpatient and 114 in inpatient group).  ...  There was no difference in the rate of return to the emergency department (3.5% vs 5.6%, p = 0.433) or readmission within 30 days (0.9% vs 0.8%, p = 0.952).  ...  Acknowledgements We would like to thank the Harry Barberian Research Fund for research support.  ... 
doi:10.1186/s40463-020-00484-9 pmid:33579392 fatcat:unlh235eyndi7o6lqcs5cfjpiq

Decision Support Systems in Medicine - Anesthesia, Critical Care and Intensive Care Medicine [chapter]

Thomas M., Fabrizio Cirillo, Shantale Cyr
2012 Decision Support Systems  
In a later study, the same DSS was tested in patients with anterior chest pain in emergency department [ ].  ...  ] it resulted in a specificity of . % and sensitivity of . %, increasing to . % in patients with mechanical prosthetic cardiac valves.  ... 
doi:10.5772/51756 fatcat:azhuyi6arjapplcmomvq65i33u

How Has Terrorism Impacted the American Family? [chapter]

Deborah A. O'Donnell, Jessica Powers
2009 The Impact of 9/11 on Psychology and Education  
The advantages of laboratory information systems can be considered as a platform to enhance patient satisfaction, quality care, and patient safety. 2  ...  Laboratory information systems (LIS) is a fundamental component of the diagnostic or pathology department (Henricks, 2016).  ...  The safety of patients is crucial is the pathology and laboratory department.  ... 
doi:10.1057/9780230101593_12 fatcat:ox722fwrgvhkfhtugn2bvz524u

Guidelines for overcoming hospital managerial challenges: a systematic literature review

Chiara Verbano, Maria Crema
2013 Therapeutics and Clinical Risk Management  
Purpose: The need to respond to accreditation institutes' and patients' requirements and to align health care results with increased medical knowledge is focusing greater attention on quality in health  ...  The purpose of this paper is to grasp the current tools, practices, and guidelines adopted in health care to improve quality and patient safety and create a base for future research on this young subject  ...  alarms and alerts systems, "andon", patient safety alerts, and decision-making models.  ... 
doi:10.2147/tcrm.s54178 pmid:24307833 pmcid:PMC3845536 fatcat:nrnpkqzzgbdypicxhcggfco7la

Effect of Clinical Decision Support on Diagnostic Imaging for Pediatric Appendicitis: A Cluster Randomized Trial

Anupam B Kharbanda, Gabriela Vazquez-Benitez, Dustin W Ballard, David R Vinson, Uli K Chettipally, Steven P Dehmer, Heidi Ekstrom, Adina S Rauchwerger, Brianna McMichael, Dale M Cotton, Mamata V Kene, Laura E Simon (+5 others)
2021 JAMA Network Open  
To evaluate the effectiveness of an electronic health record-linked clinical decision support intervention, AppyCDS, on diagnostic imaging, health care costs, and safety outcomes for patients with suspected  ...  Ratio of ratios (RORs) for primary and safety outcomes and differences by group in cost were used to evaluate effectiveness of the clinical decision support tool.  ...  CDS indicates clinical decision support; ED, emergency department. a Not enrolled indicates that no patient information was entered in the clinical decision support system.  ... 
doi:10.1001/jamanetworkopen.2020.36344 pmid:33560426 pmcid:PMC7873779 fatcat:vj5qeaptjzdwdhy3bwobpkkjve
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