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Enhancing Decision-making Systems with Relevant Patient Information by Leveraging Clinical Notes

João Almeida, João Silva, Alejandro Sierra, Sergio Matos, José Oliveira
2020 Proceedings of the 13th International Joint Conference on Biomedical Engineering Systems and Technologies  
Although clinical guidelines were designed considering those circumstances, existing decision-support features fail in assimilating detailed relevant patient information, which opens up opportunities for  ...  Our goal is to leverage the historical component of the patient trajectory to improve clinical decision support systems performance. a https://orcid.  ...  Systems with Relevant Patient Information by Leveraging Clinical Notes  ... 
doi:10.5220/0009166902540262 dblp:conf/biostec/AlmeidaSSMO20 fatcat:75sfndtkwvedpn74anf7cr7wly

Optimal data systems

Leo A. Celi, Marie Csete, David Stone
2014 Current Opinion in Critical Care  
The purpose of the review is to describe the evolving concept and role of data as it relates to clinical predictions and decision-making.  ...  , and leveraging such data into well-designed decision support modalities as well as the formulation of robust best practices.  ...  Arguably data from outside the EMR can and should inform clinical decision-making.  ... 
doi:10.1097/mcc.0000000000000137 pmid:25137399 pmcid:PMC4215932 fatcat:mx4y6vtfg5c4jogvxsa6daxfky

IT-Enabled Clinical Decision Support: An Empirical Study on Antecedents and Mechanisms

Rogier van de Wetering
2018 Journal of Healthcare Engineering  
Typical innovative solutions include patient records and clinical decision support systems to enhance the process of decision making by doctors and other healthcare practitioners.  ...  We develop a research model that explains how "health information exchange" and enhanced "information capability" collectively drive a hospital's "clinical decision support capability."  ...  CDSSs are developed to enhance the process of clinical decision making and provide clinicians with several modes of decision support (e.g., alerts, reminders, advice) for active care issues according to  ... 
doi:10.1155/2018/6945498 pmid:30651945 pmcid:PMC6311880 fatcat:dfyipjl23rd43mq57tza3m6kze

A national clinical decision support infrastructure to enable the widespread and consistent practice of genomic and personalized medicine

Kensaku Kawamoto, David F Lobach, Huntington F Willard, Geoffrey S Ginsburg
2009 BMC Medical Informatics and Decision Making  
with the Roadmap for National Action on Clinical Decision Support commissioned by the U.S.  ...  Summary: A national clinical decision support infrastructure will be required for reaping the full benefits of genomic and personalized medicine.  ...  National Human Genome Research Institute (KK); the Duke University Division of Clinical Informatics in the Department of Community and Family Medicine (KK and DL); and by the Duke Institute for Genome  ... 
doi:10.1186/1472-6947-9-17 pmid:19309514 pmcid:PMC2666673 fatcat:hhfnmdwzonbhpc2oudpc3mj7pe

Big Data and Digital Solutions: Laying the Foundation for Cardiovascular Population Management CME

Khurram Nasir, Zulqarnain Javed, Safi U Khan, Stephen L Jones, Julia Andrieni
2020 Methodist DeBakey Cardiovascular Journal  
the actions of clinical and policy decision makers and relevant stakeholders, and optimizing engagement strategies with the public and information-empowered patients.  ...  positive change and care standardization, and observed uncertainty in clinical decision making.  ...  These solutions are primed to enhance CVD care by (1) addressing widely prevalent conditions, the high cost to patients and health systems, and the relevance for multiple clinical domains (prevention,  ... 
doi:10.14797/mdcj-16-4-272 pmid:33500755 pmcid:PMC7812845 fatcat:s673sau33rchbgsovj5yu244n4

Clinical Thinking via Electronic Note Templates: Who Benefits?

April Savoy, Richard Frankel, Michael Weiner
2021 Journal of general internal medicine  
to support clinical decision-making.  ...  The need for understanding the relationship between building the note and making a clinical decision remains unmet.  ...  Compliance with Ethical Standards: Conflict of Interest: The authors declare that they do not have a conflict of interest.  ... 
doi:10.1007/s11606-020-06376-y pmid:33409889 fatcat:lrw5vkdrdfbghde36qjoixri2m

Enhancing laboratory report contents to improve outpatient management of test results

K. C Chang, J M. Overhage, S. L Hui, M. C Were
2010 JAMIA Journal of the American Medical Informatics Association  
The Regenstrief Institute has created a system which leverages data within Indiana Health Information Exchange's (IHIE's) repository, the Indiana Network for Patient Care (INPC), to provide well-organized  ...  Assembling relevant contextual data to make decisions on laboratory results can take a significant amount of time from the day.  ...  We leveraged information stored in the Indiana Network for Patient Care (INPC) repository 7 dwhich serves the Indiana Health Information Exchange 8 dto identify relevant contextual information for  ... 
doi:10.1197/jamia.m3391 pmid:20064809 pmcid:PMC2995639 fatcat:vzch4ustrrbt5i7i7wtlgkg2ai

A disruptive Big data approach to leverage the efficiency in management and clinical decision support in a Hospital

José Pedro Almeida
2016 Porto Biomedical Journal  
There is an urgent need to potentiate evidence-based clinical-decision-making with a holistic, patient-centered approach to value, one that focuses both on health-care spending and treatment outcomes.1  ...  On the other hand, in the era of self-driven vehicles, computer systems in healthcare need also to become proactive and to identify relevant clinical patterns in a much faster and automated way than currently  ...  The author also thanks them for their relevant critiques and their support in writing this document.  ... 
doi:10.1016/j.pbj.2015.12.001 pmid:32258546 pmcid:PMC6806937 fatcat:qetlnuap3jbdvnbh42csiwqelm

Proposal for Fulfilling Strategic Objectives of the U.S. Roadmap for National Action on Decision Support through a Service-oriented Architecture Leveraging HL7 Services

K. Kawamoto, D. F. Lobach
2007 JAMIA Journal of the American Medical Informatics Association  
A b s t r a c t Despite their demonstrated effectiveness, clinical decision support (CDS) systems are not widely used within the U.S.  ...  The Roadmap for National Action on Clinical Decision Support, published in June 2006 by the American Medical Informatics Association, identifies six strategic objectives for achieving widespread adoption  ...  clinical decision support is widely available to providers, patients, and individuals where and when they need it to make health care decisions."  ... 
doi:10.1197/jamia.m2298 pmid:17213489 pmcid:PMC2213469 fatcat:cdzivsy3pjabfkfnhxwcftzose

Standards for Scalable Clinical Decision Support: Need, Current and Emerging Standards, Gaps, and Proposal for Progress

Kensaku Kawamoto
2010 Open Medical Informatics Journal  
Despite their potential to significantly improve health care, advanced clinical decision support (CDS) capabilities are not widely available in the clinical setting.  ...  clinical knowledge in both human-readable and machine-executable formats; and (iii) standard approaches for leveraging these knowledge resources to provide CDS capabilities across various applications  ...  The funding sources played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the manuscript; or in the decision to submit the manuscript for publication  ... 
doi:10.2174/1874431101004010235 pmid:21603283 pmcid:PMC3097480 fatcat:rbknrlo4efh35cu64mvdggcbdy

Possibilities and Implications of Using the ICF and Other Vocabulary Standards in Electronic Health Records

Daniel J. Vreeman, Christophe Richoz
2013 Physiotherapy Research International  
We highlight how these different vocabulary standards fit together within a comprehensive record system, and how EHRs can make use of them, with a particular focus on enhancing decision-making.  ...  Yet, the plethora of idiosyncratic conventions for identifying the same clinical content in different information systems is a fundamental barrier to fully leveraging the potential of EHRs.  ...  of health information technology to support clinical decision-making.  ... 
doi:10.1002/pri.1559 pmid:23897840 pmcid:PMC3907616 fatcat:5g4sptlpdbaa7cs46rrbubqany

An informatics strategy for cancer care

J Wright, A Shogan, J McCune, S Steven
2008 Biomedical Imaging and Intervention Journal  
Whether transitioning from paper to electronic records or attempting to leverage data from existing systems for outcome studies, oncology practices face many challenges in defining and executing an informatics  ...  With the increasing costs of oncology treatments and expected changes in reimbursement rules, including requirements for evidence that supports physician decisions, it will become essential to collect  ...  Built for ambulatory Clinical Decision Support Systems The importance of clinical decision support systems that guide patient care and ensure patient safety is wellrecognised, although such systems  ... 
doi:10.2349/biij.4.3.e35 pmid:21611003 pmcid:PMC3097735 fatcat:zug4b763rje7honyci3kyzdrnu

System-Agnostic Clinical Decision Support Services: Benefits and Challenges for Scalable Decision Support

Kensaku Kawamoto
2010 Open Medical Informatics Journal  
System-agnostic clinical decision support (CDS) services provide patient evaluation capabilities that are independent of specific CDS systems and system implementation contexts.  ...  cases can focus solely on the underlying clinical decision logic [5] SEBASTIAN clinical decision rules can undergo batch regression testing [5] Enabling of distributed CDS development Medication CDS capabilities  ...  The funding sources played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the manuscript; or in the decision to submit the manuscript for publication  ... 
doi:10.2174/1874431101004010245 pmid:21603281 pmcid:PMC3097478 fatcat:hbummv7nxbgrdeajfthjcr52le

Owning Attention: Applying Human Factors Principles to Support Clinical Decision Support [chapter]

Robin Littlejohn, Ronald Romero Barrientos, Christian Boxley, Kristen Miller
2020 Advances in Intelligent and Personalized Clinical Decision Support Systems [Working Title]  
In the best examples, clinical decision support (CDS) systems guide clinician decision-making and actions, prevent errors, improve quality, reduce costs, save time, and promote the use of evidence-based  ...  system level.  ...  Current state of clinical decision support Clinical decision support (CDS), leveraging features within the electronic health record (EHR), is increasingly recognized as a valuable tool for providing cognitive  ... 
doi:10.5772/intechopen.92291 fatcat:4ljicnndlbahjkqpyhh7alnj2u

Can Word Embedding Help Term Mismatch Problem? – A Result Analysis on Clinical Retrieval Tasks [chapter]

Danchen Zhang, Daqing He
2018 Lecture Notes in Computer Science  
Clinical Decision Support (CDS) systems assist doctors to make clinical decisions by searching for medical literature based on patients' medical records.  ...  Different to other retrieval tasks, queries issued to this clinical retrieval system have already been expanded with the most informative terms for disease prediction.  ...  Introduction During their clinical decision making process, doctors often consult external literature for reference.  ... 
doi:10.1007/978-3-319-78105-1_44 fatcat:7x6ic7pe4zaldg37hevtlem3eq
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