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Topics in Neonatal Informatics

Jonathan P. Palma, Paul J. Sharek, David C. Classen, Christopher A. Longhurst
<span title="">2011</span> <i title="American Academy of Pediatrics (AAP)"> <a target="_blank" rel="noopener" href="https://fatcat.wiki/container/er5fij3o4ngyhc5nf6wym27vtq" style="color: black;">NeoReviews</a> </i> &nbsp;
Computerized physician order entry (CPOE) is the feature of electronic medical record (EMR) implementation that arguably offers the greatest quality and patient safety benefits. The gains are potentially greater for critically ill neonates, but the effect of CPOE on quality and safety is dependent upon local implementation decisions. Objectives-After completing this article, readers should be able to: 1. Define the basic aspects of CPOE and clinical decision support (CDS) systems. 2. Describe
more &raquo; ... e potential benefits of implementing CPOE associated with CDS in a neonatal intensive care unit (NICU).
<span class="external-identifiers"> <a target="_blank" rel="external noopener noreferrer" href="https://doi.org/10.1542/neo.12-7-e393">doi:10.1542/neo.12-7-e393</a> <a target="_blank" rel="external noopener" href="https://www.ncbi.nlm.nih.gov/pubmed/21804768">pmid:21804768</a> <a target="_blank" rel="external noopener" href="https://pubmed.ncbi.nlm.nih.gov/PMC3146345/">pmcid:PMC3146345</a> <a target="_blank" rel="external noopener" href="https://fatcat.wiki/release/zbbay4bje5fcjpfn2ycwesfbsa">fatcat:zbbay4bje5fcjpfn2ycwesfbsa</a> </span>
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Clustering of Cases of Insulin Dependent Diabetes (IDDM) Occurring Three Years After Hemophilus Influenza B (HiB) Immunization Support Causal Relationship Between Immunization and IDDM

John Barthelow Classen, David C. Classen
<span title="">2002</span> <i title="Informa UK Limited"> <a target="_blank" rel="noopener" href="https://fatcat.wiki/container/h2ld4ur7pnc77iav26ppzvk6hi" style="color: black;">Autoimmunity</a> </i> &nbsp;
Classen and David C. Classen.  ... 
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Adverse Events in Hospitalized Pediatric Patients

David C. Stockwell, Christopher P. Landrigan, Sara L. Toomey, Samuel S. Loren, Jisun Jang, Jessica A. Quinn, Sepideh Ashrafzadeh, Michelle J. Wang, Melody Wu, Paul J. Sharek, David C. Classen, Rajendu Srivastava (+2 others)
<span title="2018-07-13">2018</span> <i title="American Academy of Pediatrics (AAP)"> <a target="_blank" rel="noopener" href="https://fatcat.wiki/container/jjwdvrbalba7bozmsndi7jy2te" style="color: black;">Pediatrics</a> </i> &nbsp;
initial analyses, and reviewed and revised the manuscript; Ms Jang collected the data, conducted initial analyses, drafted the initial manuscript, and reviewed and revised the manuscript; Drs Sharek, Classen  ...  C, Preventable AEs. D, By hospital type, preventable AEs. E, High-severity AEs. High-severity AEs are defined as NCCMERP categories F to I. F, By hospital type, high-severity AEs.  ... 
<span class="external-identifiers"> <a target="_blank" rel="external noopener noreferrer" href="https://doi.org/10.1542/peds.2017-3360">doi:10.1542/peds.2017-3360</a> <a target="_blank" rel="external noopener" href="https://www.ncbi.nlm.nih.gov/pubmed/30006445">pmid:30006445</a> <a target="_blank" rel="external noopener" href="https://pubmed.ncbi.nlm.nih.gov/PMC6317760/">pmcid:PMC6317760</a> <a target="_blank" rel="external noopener" href="https://fatcat.wiki/release/7gwq7jmrvrazhb7jopsaluiwra">fatcat:7gwq7jmrvrazhb7jopsaluiwra</a> </span>
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Chance-Constrained Optimization of Reliable Fixed Broadband Wireless Networks

Grit Claßen, Arie M. C. A. Koster, David Coudert, Napoleão Nepomuceno
<span title="">2014</span> <i title="Institute for Operations Research and the Management Sciences (INFORMS)"> <a target="_blank" rel="noopener" href="https://fatcat.wiki/container/ko3yoz32wja7tmqwbgqqjmfyxa" style="color: black;">INFORMS journal on computing</a> </i> &nbsp;
Given the channel bandwidth W and the m-QAM scheme in use, we can approximate the channel capacity C by C[bps] = n · W [Hz].  ...  uv + c p uv ≤ B for at least one q then Change new solution:ȳpq uv = 0,ȳ pq uv = 1, setĉ uv := c p uv ,ρ uv := log(ρ pq uv ) break for loop over p end if end for end for return (x,ȳ) end if Figure 2  ... 
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Using a Pediatric Trigger Tool to Estimate Total Harm Burden Hospital-acquired Conditions Represent

David C Stockwell, Christopher P Landrigan, Mark A Schuster, Darren Klugman, Hema Bisarya, David C Classen, Zoelle B Dizon, Matt Hall, Matthew Wood, Paul J Sharek
<span title="2018-05-25">2018</span> <i title="Ovid Technologies (Wolters Kluwer) - Lippincott Williams &amp; Wilkins"> <a target="_blank" rel="noopener" href="https://fatcat.wiki/container/4aowfzaolzh7bftemhxp2jf7xa" style="color: black;">Pediatric Quality &amp; Safety</a> </i> &nbsp;
Classen reports employment by Pascal Metrics, a federally certified Patient Safety Organization.  ...  In later years, Solutions for Patient Safety has broadened their HAC list to include additional harms, including Peripheral Intravenous Infiltration and Extravasations, Unplanned Extubations, and C.  ... 
<span class="external-identifiers"> <a target="_blank" rel="external noopener noreferrer" href="https://doi.org/10.1097/pq9.0000000000000081">doi:10.1097/pq9.0000000000000081</a> <a target="_blank" rel="external noopener" href="https://www.ncbi.nlm.nih.gov/pubmed/30229193">pmid:30229193</a> <a target="_blank" rel="external noopener" href="https://pubmed.ncbi.nlm.nih.gov/PMC6132812/">pmcid:PMC6132812</a> <a target="_blank" rel="external noopener" href="https://fatcat.wiki/release/2spiq2462fdpffcjxo23jxc5wu">fatcat:2spiq2462fdpffcjxo23jxc5wu</a> </span>
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National Trends in the Safety Performance of Electronic Health Record Systems From 2009 to 2018

David C. Classen, A. Jay Holmgren, Zoe Co, Lisa P. Newmark, Diane Seger, Melissa Danforth, David W. Bates
<span title="2020-05-29">2020</span> <i title="American Medical Association (AMA)"> <a target="_blank" rel="noopener" href="https://fatcat.wiki/container/aj4ubaiwqfeknejtsyuk2st4su" style="color: black;">JAMA Network Open</a> </i> &nbsp;
Published: May 29, 2020. doi:10.1001/jamanetworkopen.2020.5547 Open Access: This is an open access article distributed under the terms of the CC-BY License. © 2020 Classen DC et al.  ...  large sample of US hospitals ( CPOE EHR Assessment Scores Over Time The overall mean (SD) total score increased from 53.9% P < .001), vendor G (β = 5.49; 95% CI, 0.77-7.81; P = .02), and vendor C  ... 
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Creating an Oversight Infrastructure for Electronic Health Record–Related Patient Safety Hazards

Hardeep Singh, David C. Classen, Dean F. Sittig
<span title="">2011</span> <i title="Ovid Technologies (Wolters Kluwer Health)"> <a target="_blank" rel="noopener" href="https://fatcat.wiki/container/g5c6xxl77fhlda34hkb5vtimlm" style="color: black;">Journal of patient safety</a> </i> &nbsp;
Harms or has potential to harm more than 100 58 patients 59 c. Is not the direct result of a natural disaster 60 d.  ...  , the technical feasibility of gaining access to and examining system logs 'on demand' during investigations and unannounced inspections, and maintaining the confidentiality of the discovery process. c)  ... 
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A Chance-Constrained Model and Cutting Planes for Fixed Broadband Wireless Networks [chapter]

Grit Claßen, David Coudert, Arie M. C. A. Koster, Napoleão Nepomuceno
<span title="">2011</span> <i title="Springer Berlin Heidelberg"> <a target="_blank" rel="noopener" href="https://fatcat.wiki/container/2w3awgokqne6te4nvlofavy5a4" style="color: black;">Lecture Notes in Computer Science</a> </i> &nbsp;
The choice to operate link uv ∈ E at bandwidth b w uv , w ∈ Wuv, implies a cost c w uv .  ...  The minimum cost fixed broadband wireless network design problem then reads: min uv∈E w∈Wuv m∈M w uv c w uv y wm uv (2a) s.t. u∈V :vu∈E f k vu − u∈V :uv∈E f k uv =      1, if v = s k , −1, if v =  ... 
<span class="external-identifiers"> <a target="_blank" rel="external noopener noreferrer" href="https://doi.org/10.1007/978-3-642-21527-8_5">doi:10.1007/978-3-642-21527-8_5</a> <a target="_blank" rel="external noopener" href="https://fatcat.wiki/release/lgwa73vdavbtroaiskdkzqntxa">fatcat:lgwa73vdavbtroaiskdkzqntxa</a> </span>
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Experiences of Mothers Who Are Child Sexual Abuse Survivors: A Qualitative Exploration

Courtenay E. Cavanaugh, Bianca Harper, Catherine C. Classen, Oxana Palesh, Cheryl Koopman, David Spiegel
<span title="2015-07-04">2015</span> <i title="Informa UK Limited"> <a target="_blank" rel="noopener" href="https://fatcat.wiki/container/kfuqledcafartamqyvr732jloi" style="color: black;">Journal of Child Sexual Abuse</a> </i> &nbsp;
Acknowledgments The parent study from which data for this study was taken was funded by grant RO1MH60556 from the National Institute of Mental Health, David Spiegel, Principal Investigator.  ...  from a randomized, controlled trial regarding the efficacy of trauma-focused and present-focused group psychotherapy on reducing trauma symptoms and risky behaviors among adult female survivors of CSA (Classen  ...  Given the literature suggesting that mothers play a crucial role in sex communication with daughters (Cavanaugh & Classen, 2009) , there is a need for further investigation into the impact of CSA on survivors  ... 
<span class="external-identifiers"> <a target="_blank" rel="external noopener noreferrer" href="https://doi.org/10.1080/10538712.2015.1042186">doi:10.1080/10538712.2015.1042186</a> <a target="_blank" rel="external noopener" href="https://www.ncbi.nlm.nih.gov/pubmed/26301437">pmid:26301437</a> <a target="_blank" rel="external noopener" href="https://pubmed.ncbi.nlm.nih.gov/PMC5933442/">pmcid:PMC5933442</a> <a target="_blank" rel="external noopener" href="https://fatcat.wiki/release/hdetjj454jaf5j44s5z2nu5ata">fatcat:hdetjj454jaf5j44s5z2nu5ata</a> </span>
<a target="_blank" rel="noopener" href="https://web.archive.org/web/20200206210815/http://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC5933442&amp;blobtype=pdf" title="fulltext PDF download" data-goatcounter-click="serp-fulltext" data-goatcounter-title="serp-fulltext"> <button class="ui simple right pointing dropdown compact black labeled icon button serp-button"> <i class="icon ia-icon"></i> Web Archive [PDF] <div class="menu fulltext-thumbnail"> <img src="https://blobs.fatcat.wiki/thumbnail/pdf/b3/da/b3da1db72315cb886e871f8e709eb3a57fb3f4ed.180px.jpg" alt="fulltext thumbnail" loading="lazy"> </div> </button> </a> <a target="_blank" rel="external noopener noreferrer" href="https://doi.org/10.1080/10538712.2015.1042186"> <button class="ui left aligned compact blue labeled icon button serp-button"> <i class="external alternate icon"></i> tandfonline.com </button> </a> <a target="_blank" rel="external noopener" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5933442" title="pubmed link"> <button class="ui compact blue labeled icon button serp-button"> <i class="file alternate outline icon"></i> pubmed.gov </button> </a>

Bandwidth assignment for reliable fixed broadband wireless networks

Grit Classen, David Coudert, Arie M. C. A. Koster, Napoleao Nepomuceno
<span title="">2011</span> <i title="IEEE"> <a target="_blank" rel="noopener" href="https://fatcat.wiki/container/4pfxdmp3urc5rbpwp5xxnz7zve" style="color: black;">2011 IEEE International Symposium on a World of Wireless, Mobile and Multimedia Networks</a> </i> &nbsp;
Given the channel bandwidth B and the m-QAM scheme in use, we can approximate the channel capacity C by: C[bps] = n · B[Hz] High-level QAM schemes, despite presenting better bandwidth efficiency, are more  ...  Formulation C also improves the basic problem formulation A for most cases, but it does not perform as well as formulation B.  ... 
<span class="external-identifiers"> <a target="_blank" rel="external noopener noreferrer" href="https://doi.org/10.1109/wowmom.2011.5986471">doi:10.1109/wowmom.2011.5986471</a> <a target="_blank" rel="external noopener" href="https://dblp.org/rec/conf/wowmom/ClassenCKN11.html">dblp:conf/wowmom/ClassenCKN11</a> <a target="_blank" rel="external noopener" href="https://fatcat.wiki/release/mil4u66zlfe7tor5luppthbad4">fatcat:mil4u66zlfe7tor5luppthbad4</a> </span>
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Oral Antimicrobial Prophylaxis in Bone Marrow Transplant Recipients: Randomized Trial of Ciprofloxacin versus Ciprofloxacin-Vancomycin

Clyde D. Ford, William Reilly, John Wood, David C. Classen, John P. Burke
<span title="1998-06-01">1998</span> <i title="American Society for Microbiology"> <a target="_blank" rel="noopener" href="https://fatcat.wiki/container/5yry76lrezcodh4zk6hgwgfwfi" style="color: black;">Antimicrobial Agents and Chemotherapy</a> </i> &nbsp;
Stool sample Throat swab C (n ϭ 41) b CV (n ϭ 43) P C (n ϭ 41) CV (n ϭ 43) P CoNS 18 10 0.045 15 8 0.06 Alpha strepto- cocci 10 9 0.71 37 26 0.002 Candida spp. 22 26 0.53  ...  However, at our institution C. difficile-associated diarrhea is relatively uncommon in both transplant and nontransplant patients.  ... 
<span class="external-identifiers"> <a target="_blank" rel="external noopener noreferrer" href="https://doi.org/10.1128/aac.42.6.1402">doi:10.1128/aac.42.6.1402</a> <a target="_blank" rel="external noopener" href="https://fatcat.wiki/release/y7b6w7lwfbd2nd5b2ar5qcf2ha">fatcat:y7b6w7lwfbd2nd5b2ar5qcf2ha</a> </span>
<a target="_blank" rel="noopener" href="https://web.archive.org/web/20190501221332/https://aac.asm.org/content/aac/42/6/1402.full.pdf" title="fulltext PDF download" data-goatcounter-click="serp-fulltext" data-goatcounter-title="serp-fulltext"> <button class="ui simple right pointing dropdown compact black labeled icon button serp-button"> <i class="icon ia-icon"></i> Web Archive [PDF] <div class="menu fulltext-thumbnail"> <img src="https://blobs.fatcat.wiki/thumbnail/pdf/fa/5b/fa5be977bd29988db9ead4af0234e4e1e544cf37.180px.jpg" alt="fulltext thumbnail" loading="lazy"> </div> </button> </a> <a target="_blank" rel="external noopener noreferrer" href="https://doi.org/10.1128/aac.42.6.1402"> <button class="ui left aligned compact blue labeled icon button serp-button"> <i class="external alternate icon"></i> asm.org </button> </a>

Sexual Adjustment and Body Image Scale (SABIS): A New Measure for Breast Cancer Patients

E. Jane Dalton, Valaire Naisbitt Rasmussen, Catherine C. Classen, Mareile Grumann, Oxana Gronskaya Palesh, Julia Zarcone, Helena C. Kraemer, Jeffrey J. Kirshner, Lauren K. Colman, Gary R. Morrow, David Spiegel
<span title="">2009</span> <i title="Wiley"> <a target="_blank" rel="noopener" href="https://fatcat.wiki/container/sasokxugprgovprc6fqv7fathy" style="color: black;">The Breast Journal</a> </i> &nbsp;
research was conducted in the Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine and was supported by grant CA61309 from the National Cancer Institute awarded to David  ...  image and sexuality; (b) women who report higher levels of avoidance and intrusion would report greater disturbances in body image and sexuality following their diagnosis, but not prior to diagnosis; (c)  ... 
<span class="external-identifiers"> <a target="_blank" rel="external noopener noreferrer" href="https://doi.org/10.1111/j.1524-4741.2009.00718.x">doi:10.1111/j.1524-4741.2009.00718.x</a> <a target="_blank" rel="external noopener" href="https://www.ncbi.nlm.nih.gov/pubmed/19645784">pmid:19645784</a> <a target="_blank" rel="external noopener" href="https://pubmed.ncbi.nlm.nih.gov/PMC4856437/">pmcid:PMC4856437</a> <a target="_blank" rel="external noopener" href="https://fatcat.wiki/release/62mirilbxjehvgcj6aspvvcxm4">fatcat:62mirilbxjehvgcj6aspvvcxm4</a> </span>
<a target="_blank" rel="noopener" href="https://web.archive.org/web/20220126180048/http://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC4856437&amp;blobtype=pdf" title="fulltext PDF download" data-goatcounter-click="serp-fulltext" data-goatcounter-title="serp-fulltext"> <button class="ui simple right pointing dropdown compact black labeled icon button serp-button"> <i class="icon ia-icon"></i> Web Archive [PDF] <div class="menu fulltext-thumbnail"> <img src="https://blobs.fatcat.wiki/thumbnail/pdf/5b/5f/5b5fba13286ec12f2cf6a898cd8d78601bf1dca5.180px.jpg" alt="fulltext thumbnail" loading="lazy"> </div> </button> </a> <a target="_blank" rel="external noopener noreferrer" href="https://doi.org/10.1111/j.1524-4741.2009.00718.x"> <button class="ui left aligned compact blue labeled icon button serp-button"> <i class="external alternate icon"></i> Publisher / doi.org </button> </a> <a target="_blank" rel="external noopener" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4856437" title="pubmed link"> <button class="ui compact blue labeled icon button serp-button"> <i class="file alternate outline icon"></i> pubmed.gov </button> </a>

Supportive-Expressive Group Therapy and Distress in Patients With Metastatic Breast Cancer

Catherine Classen, Lisa D. Butler, Cheryl Koopman, Elaine Miller, Sue DiMiceli, Janine Giese-Davis, Patricia Fobair, Robert W. Carlson, Helena C. Kraemer, David Spiegel
<span title="2001-05-01">2001</span> <i title="American Medical Association (AMA)"> <a target="_blank" rel="noopener" href="https://fatcat.wiki/container/lybkshpjjfayvm4wxww2usbh6q" style="color: black;">Archives of General Psychiatry</a> </i> &nbsp;
C indicates control group; T, treatment group.  ...  Corresponding author and reprints: Catherine Classen, PhD, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA 94131-5718 (e-mail: classen@leland.stanford.edu  ... 
<span class="external-identifiers"> <a target="_blank" rel="external noopener noreferrer" href="https://doi.org/10.1001/archpsyc.58.5.494">doi:10.1001/archpsyc.58.5.494</a> <a target="_blank" rel="external noopener" href="https://www.ncbi.nlm.nih.gov/pubmed/11343530">pmid:11343530</a> <a target="_blank" rel="external noopener" href="https://fatcat.wiki/release/cdfuwnmfqvbhjhm2th3y2hw47q">fatcat:cdfuwnmfqvbhjhm2th3y2hw47q</a> </span>
<a target="_blank" rel="noopener" href="https://web.archive.org/web/20190501150851/https://jamanetwork.com/journals/jamapsychiatry/articlepdf/481764/yoa9379.pdf" title="fulltext PDF download" data-goatcounter-click="serp-fulltext" data-goatcounter-title="serp-fulltext"> <button class="ui simple right pointing dropdown compact black labeled icon button serp-button"> <i class="icon ia-icon"></i> Web Archive [PDF] <div class="menu fulltext-thumbnail"> <img src="https://blobs.fatcat.wiki/thumbnail/pdf/cd/90/cd909392c1a578517dde4cbb64448a6a7e6d901d.180px.jpg" alt="fulltext thumbnail" loading="lazy"> </div> </button> </a> <a target="_blank" rel="external noopener noreferrer" href="https://doi.org/10.1001/archpsyc.58.5.494"> <button class="ui left aligned compact blue labeled icon button serp-button"> <i class="external alternate icon"></i> Publisher / doi.org </button> </a>

Novel Prodiginine Derivatives Demonstrate Bioactivities on Plants, Nematodes, and Fungi

Samer S. Habash, Hannah U. C. Brass, Andreas S. Klein, David P. Klebl, Tim Moritz Weber, Thomas Classen, Jörg Pietruszka, Florian M. W. Grundler, A. Sylvia S. Schleker
<span title="2020-10-16">2020</span> <i title="Frontiers Media SA"> <a target="_blank" rel="noopener" href="https://fatcat.wiki/container/bbmitkj3efgeppizzjrx6w5emu" style="color: black;">Frontiers in Plant Science</a> </i> &nbsp;
., , 2018 Classen and Pietruszka, 2018) .  ...  FIGURE 3 | 3 Direct effect of prodigiosin (1) and derivatives 6-10 on C. elegans first-stage juveniles.  ... 
<span class="external-identifiers"> <a target="_blank" rel="external noopener noreferrer" href="https://doi.org/10.3389/fpls.2020.579807">doi:10.3389/fpls.2020.579807</a> <a target="_blank" rel="external noopener" href="https://www.ncbi.nlm.nih.gov/pubmed/33178246">pmid:33178246</a> <a target="_blank" rel="external noopener" href="https://pubmed.ncbi.nlm.nih.gov/PMC7596250/">pmcid:PMC7596250</a> <a target="_blank" rel="external noopener" href="https://fatcat.wiki/release/7dz5tiavcnaitlexvnwtbwgiw4">fatcat:7dz5tiavcnaitlexvnwtbwgiw4</a> </span>
<a target="_blank" rel="noopener" href="https://web.archive.org/web/20201119204758/https://fjfsdata01prod.blob.core.windows.net/articles/files/579807/pubmed-zip/.versions/1/.package-entries/fpls-11-579807/fpls-11-579807.pdf?sv=2018-03-28&amp;sr=b&amp;sig=lUmu8jINX28qo05zEcQGXMrUyraGdWhXmaM5TzR%2Bujg%3D&amp;se=2020-11-19T20%3A48%3A27Z&amp;sp=r&amp;rscd=attachment%3B%20filename%2A%3DUTF-8%27%27fpls-11-579807.pdf" title="fulltext PDF download" data-goatcounter-click="serp-fulltext" data-goatcounter-title="serp-fulltext"> <button class="ui simple right pointing dropdown compact black labeled icon button serp-button"> <i class="icon ia-icon"></i> Web Archive [PDF] <div class="menu fulltext-thumbnail"> <img src="https://blobs.fatcat.wiki/thumbnail/pdf/fe/fb/fefb78ca58c78b596136627cd383ecd48f4fa0c6.180px.jpg" alt="fulltext thumbnail" loading="lazy"> </div> </button> </a> <a target="_blank" rel="external noopener noreferrer" href="https://doi.org/10.3389/fpls.2020.579807"> <button class="ui left aligned compact blue labeled icon button serp-button"> <i class="unlock alternate icon" style="background-color: #fb971f;"></i> frontiersin.org </button> </a> <a target="_blank" rel="external noopener" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7596250" title="pubmed link"> <button class="ui compact blue labeled icon button serp-button"> <i class="file alternate outline icon"></i> pubmed.gov </button> </a>

The tradeoffs between safety and alert fatigue: Data from a national evaluation of hospital medication-related clinical decision support

Zoe Co, A Jay Holmgren, David C Classen, Lisa Newmark, Diane L Seger, Melissa Danforth, David W Bates
<span title="2020-07-04">2020</span> <i title="Oxford University Press (OUP)"> <a target="_blank" rel="noopener" href="https://fatcat.wiki/container/aapnwtybrvghlc35hfimbtdlom" style="color: black;">JAMIA Journal of the American Medical Informatics Association</a> </i> &nbsp;
Objective The study sought to evaluate the overall performance of hospitals that used the Computerized Physician Order Entry Evaluation Tool in both 2017 and 2018, along with their performance against fatal orders and nuisance orders. Materials and Methods We evaluated 1599 hospitals that took the test in both 2017 and 2018 by using their overall percentage scores on the test, along with the percentage of fatal orders appropriately alerted on, and the percentage of nuisance orders incorrectly
more &raquo; ... erted on. Results Hospitals showed overall improvement; the mean score in 2017 was 58.1%, and this increased to 66.2% in 2018. Fatal order performance improved slightly from 78.8% to 83.0% (P &lt; .001), though there was almost no change in nuisance order performance (89.0% to 89.7%; P = .43). Hospitals alerting on one or more nuisance orders had a 3-percentage-point increase in their overall score. Discussion Despite the improvement of overall scores in 2017 and 2018, there was little improvement in fatal order performance, suggesting that hospitals are not targeting the deadliest orders first. Nuisance order performance showed almost no improvement, and some hospitals may be achieving higher scores by overalerting, suggesting that the thresholds for which alerts are fired from are too low. Conclusions Although hospitals improved overall from 2017 to 2018, there is still important room for improvement for both fatal and nuisance orders. Hospitals that incorrectly alerted on one or more nuisance orders had slightly higher overall performance, suggesting that some hospitals may be achieving higher scores at the cost of overalerting, which has the potential to cause clinician burnout and even worsen safety.
<span class="external-identifiers"> <a target="_blank" rel="external noopener noreferrer" href="https://doi.org/10.1093/jamia/ocaa098">doi:10.1093/jamia/ocaa098</a> <a target="_blank" rel="external noopener" href="https://www.ncbi.nlm.nih.gov/pubmed/32620948">pmid:32620948</a> <a target="_blank" rel="external noopener" href="https://fatcat.wiki/release/svi3jtvdf5apxp5ssbrih7h2di">fatcat:svi3jtvdf5apxp5ssbrih7h2di</a> </span>
<a target="_blank" rel="noopener" href="https://web.archive.org/web/20220320234655/https://watermark.silverchair.com/ocaa098.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAAsQwggLABgkqhkiG9w0BBwagggKxMIICrQIBADCCAqYGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQMhKXsIn7pekQ31pzLAgEQgIICdzcXRv6jFWjCnbALiNVwtv8ESGdaMA-NDe8eS3gZLpMYMaWJGQEEiGvdyAQEVfJcezLo9uLl2DL273tmJKdFtNCDYDET4IMgeb9Qix-NOZmr1YzWdhE-BYbwnU5Mrtkh714__e8gW2htINq0sHfaSfEZRQyDrGGQaSLPj9ptNGdDSP9WiGLI4jDtIEBP6lTT0I9KfoJDa3dxblJiisvZufFXrBvk6EgHhYGoZV2FcI5ghBYQ1DrtDHq-CcO1ClvEKwgu56kaBIW1RV5fGJNgNNSLPMvazEpts6_XujoGEAo11xB9Wg3cgM14nuPfULr4bfUAJ_2G5EkXMaUynhASb1PG32AXpxl-zUFYejYTQpob85KgZNAiCfzxjZ2KQ5HyK4dSFNOO7yl4i5qK_nCQ6ew3WOseW-b2LjO3zl34suYL4y_PunG4c_V5S02fO0nCVehxxppZe2eFl7YtC2K6cxZzjXqHmN437evrCLBtXcixg18mpEXPnhpJPpdiTGu6qHUjtixqrll7KgDDRKH6DNcjq1peSecYY47UtJOqdF0FJ2UAS-yt_xMKBnfLpTJ1cytEL6dvIHLZYxyUQ4bHL_wpvUY3VtjtzBQGAnv80dfGNXaXbszbOLPpFQibwxR1YV4lg403zRpzw9aJdCBG8Q1IWP6ethTbWO3dfI4PhMvg1saKW6n5lDII5XiZb_xMIBnwjAbYqkc6zrUzK-MM4qLf6wWWw8N0FHQUKnw-yxNLn3VPOEWvNNizEZA6MlNW-lUukUkUkLbHloZa6jefvDUT5WkGIvCIVI0RAWjqdI2WIWvwa6_hEQUBpMAwhlTs69ri-1FMR2g" title="fulltext PDF download" data-goatcounter-click="serp-fulltext" data-goatcounter-title="serp-fulltext"> <button class="ui simple right pointing dropdown compact black labeled icon button serp-button"> <i class="icon ia-icon"></i> Web Archive [PDF] <div class="menu fulltext-thumbnail"> <img src="https://blobs.fatcat.wiki/thumbnail/pdf/1b/bd/1bbd05eca48b4595cf360eeabfda32859307fd66.180px.jpg" alt="fulltext thumbnail" loading="lazy"> </div> </button> </a> <a target="_blank" rel="external noopener noreferrer" href="https://doi.org/10.1093/jamia/ocaa098"> <button class="ui left aligned compact blue labeled icon button serp-button"> <i class="external alternate icon"></i> oup.com </button> </a>
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