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Towards the Automated Calculation of Clinical Quality Indicators [chapter]

Kathrin Dentler, Annette ten Teije, Ronald Cornet, Nicolette de Keizer
2012 Lecture Notes in Computer Science  
The values of these quality indicators should ideally be calculated automatically based on data that is being collected during the care process.  ...  To measure the quality of care in order to identify whether and how it can be improved is of increasing importance, and several organisations define quality indicators as tools for such measurement.  ...  We conclude that semantic queries are are a promising step towards the automated calculation of clinical quality indicators.  ... 
doi:10.1007/978-3-642-27697-2_4 fatcat:5cyk4fnc6vfkze33qozt6xuv64

Rapid, Affordable and Efficient Screening of Multiple Blood Abnormalities Made Possible Using an Automated Tool for MALDI-ToF Spectrometry Analysis

Pais, Jardine, Zmuidinaite, Lacey, Butler, Iles
2019 Applied Sciences  
To overcome this technological limitation, we developed a fully automated software solution in our MALDI-ToF instrument towards the detection of haemoglobinopathies, thalassemias and diabetes on one blood  ...  Taken together, we demonstrated in this study that population screening of multiple blood disorders is made possible using MALDI-ToF technology in combination with automated software tools.  ...  Acknowledgments: MAP sciences Ltd. for funding the study. Bedford iLab for hosting and promoting blood sample collection of volunteers.  ... 
doi:10.3390/app9234999 fatcat:yuq4p6bonrhtvo7wpgepwcahru

Automatic quality improvement reports in the intensive care unit: One step closer toward meaningful use

Mikhail A Dziadzko, Charat Thongprayoon, Adil Ahmed, Ing C Tiong, Man Li, Daniel R Brown, Brian W Pickering, Vitaly Herasevich
2016 World Journal of Critical Care Medicine  
Automatic quality improvement reports in the intensive care unit: One step closer toward meaningful use.  ...  The Critical Care Independent Multidisciplinary Program at Mayo Clinic identified and defined 11 key quality metrics.  ...  These results demonstrate the feasibility of automated calculation of quality metrics with good accuracy, specificity, and sensitivity.  ... 
doi:10.5492/wjccm.v5.i2.165 pmid:27152259 pmcid:PMC4848159 fatcat:lyhhsn65rnhvpgxypnpikgwhru

Harmonization of automated hemolysis index assessment and use: Is it possible?

Alberto Dolci, Mauro Panteghini
2014 Clinica Chimica Acta  
This is currently done by automated estimation of hemolysis index (HI), available on almost all clinical chemistry platforms, making the hemolysis detection reliable and reportable patient test results  ...  With regard to this, relevant issues to overcome remain the objective definition of a maximum allowable bias for hemolysis interference based on the clinical application of the measurements and the management  ...  Automated monitoring of serum indices on every tested specimen is the only suitable approach to assess sample quality in high-volume clinical laboratories, which use continuous-flow automation with integration  ... 
doi:10.1016/j.cca.2013.10.012 pmid:24513329 fatcat:7qbrtr3kergdfje5zbhkchoikq

Appropriateness of psychotropic drug prescriptions in the elderly: structuring tools based on data extracted from the hospital information system to understand physician practices

Aurélie Petit-Monéger, Vianney Jouhet, Frantz Thiessard, Driss Berdaï, Pernelle Noize, Véronique Gilleron, Guillaume Caridade, Louis-Rachid Salmi, Florence Saillour-Glénisson
2019 BMC Health Services Research  
The indicators were reformulated to focus on psychotropic administrations. The automated calculation of indicators was analyzed by comparing their measure to data collected from a clinical audit.  ...  Conclusions: The automated indicators are structuring tools for the development of a drug prescription monitoring system.  ...  Acknowledgements The authors would like to thank all the participants of the group of experts: Dr. Aude Berroneau (Pharmacist, Bordeaux University Hospital, France); Dr.  ... 
doi:10.1186/s12913-019-4064-7 fatcat:pk4nky7a3zb6to4fpxb6c5rnr4

Automated Quality Assessment and Image Selection of Ultra-Widefield Fluorescein Angiography Images through Deep Learning

Henry H Li, Joseph R Abraham, Duriye Damla Sevgi, Sunil K Srivastava, Jenna M Hach, Jon Whitney, Amit Vasanji, Jamie L Reese, Justis P Ehlers
2020 Translational Vision Science & Technology  
This study evaluated the feasibility of an automated system for image quality classification and selection using deep learning. The training set was comprised of 3543 UWFA images.  ...  In the randomly selected and balanced test sets, the automated quality assessment system showed overall accuracy of 89.0% and 94.0% for distinguishing between gradable and ungradable images, with sensitivity  ...  quality standards.e Cole Eye Institute (RPB1508DM) and by a grant from the National Institutes of Health (NIH K23-EY022947).  ... 
doi:10.1167/tvst.9.2.52 pmid:32995069 pmcid:PMC7500112 fatcat:a7wrjvbsavfr3omixmmhcvk624

Treatment plan quality assessment for radiotherapy of rectal cancer patients using prediction of organ-at-risk dose metrics

Ana Vaniqui, Richard Canters, Femke Vaassen, Colien Hazelaar, Indra Lubken, Kirsten Kremer, Cecile Wolfs, Wouter van Elmpt
2020 Physics and Imaging in Radiation Oncology  
An automated framework to monitor treatment quality with a DVH prediction model was successfully implemented clinically and revealed less variation in DVH parameters for automated in comparison to manually  ...  The interquartile range of DVH parameters was on average smaller for the automatically optimized cohort, indicating less variation within each parameter compared to manual planning.  ...  Acknowledgements: The authors would like to thank Peter Fick, Sander Puts and Joeri Veugen for their essential contribution and support on the framework implementation.  ... 
doi:10.1016/j.phro.2020.10.006 pmid:33458347 pmcid:PMC7807565 fatcat:cbpail4fffgcrhkwfltevvlrje

Automated Segmentation of Foveal Avascular Zone in Fundus Fluorescein Angiography

Yalin Zheng, Jagdeep Singh Gandhi, Alexandros N. Stangos, Claudio Campa, Deborah M. Broadbent, Simon P. Harding
2010 Investigative Ophthalmology and Visual Science  
An initializing contour was manually placed inside the FAZ of the smoothed image and iteratively moved by the segmentation program toward the FAZ boundary.  ...  This automated segmentation program can produce highly reproducible results that are comparable to those made by clinical experts.  ...  The edge indicator information, shown in Figure 2B , was then computed based on the calculation of the intensity gradient over the whole enhanced images.  ... 
doi:10.1167/iovs.09-4935 pmid:20130279 fatcat:syu2fi4ptbhc3hvbdvuvlb4lbu

Automating indicator data reporting from health facility EMR to a national aggregate data system in Kenya: An Interoperability field-test using OpenMRS and DHIS2

James M Kariuki, Eric-Jan Manders, Janise Richards, Tom Oluoch, Davies Kimanga, Steve Wanyee, James O Kwach, Xenophon Santas
2016 Online Journal of Public Health Informatics  
This increases availability of quality indicator data using available resources to facilitate monitoring service delivery and measuring progress towards set goals.  ...  We configured a field-test DHIS2 instance, similar to the Kenya Ministry of Health (MOH) DHIS2, to receive HIV care and treatment indicator data and the KenyaEMR, a customized version of OpenMRS, to generate  ...  The Associate Director for Science at the Center for Global Health of the CDC approved this study, and permission to conduct the field test was granted by the Kenya Ministry of Health (MOH).  ... 
doi:10.5210/ojphi.v8i2.6722 pmid:28149444 pmcid:PMC5266757 fatcat:wxn2xzdcwbdahoqrvilcnc7iea

PO-1098 Automated planning for lung SBRT: faster optimization without compromise on plan quality

B. Goddeeris, B. Vanderstraeten, K. Vandecasteele, M. Van Eijkeren, C. Derie, C. De Wagter, Y. Lievens
2015 Radiotherapy and Oncology  
3rd ESTRO Forum 2015 S593 group B showed a trend toward an increase in the amount of gas. Individual week to week variations ranged from -228cc to 264 cc with the largest variations in group B.  ...  The average amount of gas in the upper abdominal region however, is stable over the course of radiotherapy and does not seem to be dependent on the initial volume of gas.  ...  PO-1099 Conclusions: With the automated planning module it is possible to consistently create high quality clinical plans for different tumour sites independent of the user, similar to the original clinical  ... 
doi:10.1016/s0167-8140(15)41090-4 fatcat:zp5xi25jmfbnxo3rej5gpwchgq

The Appropriateness of Digital Diabetic Retinopathy Screening Images for a Computer-Aided Glaucoma Screening System

Ahmed A Almazroa, Maria A Woodward, Paula Anne Newman-Casey, Manjool M Shah, Angela R Elam, Shivani S Kamat, Carrie A Karvonen-Gutierrez, Sarah D Wood, Navasuja Kumar, Sayoko E Moroi
2020 Clinical Ophthalmology  
The ICC value for the VCDR between the gold standard clinical exam and the automated system was 0.41, indicating fair agreement.  ...  Fifty images were not processed by the automated system due to the poor quality of the optic disc, and 29 images did not include the optic nerve head due to the patient movement during the photo acquisition  ...  Fifty images of the optic disc were of poor quality due to the bad acquisition, so could not be processed for the automated system grading 4, ie, the poor image quality of the optic nerve head, such as  ... 
doi:10.2147/opth.s273659 pmid:33235429 pmcid:PMC7678698 fatcat:yjhaomfwxbahlour3a5cpg5u6u

Toward automatic recognition of high quality clinical evidence

Halil Kilicoglu, Dina Demner-Fushman, Thomas C Rindflesch, Nancy L Wilczynski, R Brian Haynes
2008 AMIA Annual Symposium Proceedings  
We approach the challenge of identifying articles with high quality clinical evidence as a binary classification problem.  ...  Automatic methods for recognizing topically relevant documents supported by high quality research can assist clinicians in practicing evidence-based medicine.  ...  Introduction Recently, automated approaches, both knowledgebased and statistical, have shown promise in identifying high-quality articles to support evidencebased medicine.  ... 
pmid:18998881 pmcid:PMC2656036 fatcat:mlweodgyxzextapuaucn4dcmqq

Retrospective Validation and Clinical Implementation of Automated Contouring of Organs at Risk in the Head and Neck: A Step Toward Automated Radiation Treatment Planning for Low- and Middle-Income Countries

Rachel E. McCarroll, Beth M. Beadle, Peter A. Balter, Hester Burger, Carlos E. Cardenas, Sameera Dalvie, David S. Followill, Kelly D. Kisling, Michael Mejia, Komeela Naidoo, Chris L. Nelson, Christine B. Peterson (+5 others)
2018 Journal of Global Oncology  
Autocontours are acceptable for treatment planning with no or, at most, minor edits, suggesting that automated contouring is feasible for clinical use and in the ongoing development of automated radiation  ...  Automated contouring was then implemented clinically and has been used for 166 patients, and contours were quantitatively compared with the physician-edited autocontours using the same metrics.  ...  DISCUSSION This study demonstrates the clinical feasibility of high-quality automated contouring of normal structures relevant for HNC radiation treatment planning and points toward its applicability in  ... 
doi:10.1200/jgo.18.00055 pmid:30110221 pmcid:PMC6223488 fatcat:ita5j2ygerexvct5u3pznvdmoa

Evaluation of Elements Spine SRS Plan Quality for SRS and SBRT Treatment of Spine Metastases

Michael Trager, Angelia Landers, Yan Yu, Wenyin Shi, Haisong Liu
2020 Frontiers in Oncology  
This study compares the dosimetric quality of Elements plans with the clinical plans of 20 spine stereotactic radiosurgery/stereotactic body radiation therapy (SRS/SBRT) patients treated at our institution  ...  Methods: Twenty spine SRS/SBRT patients who were clinically treated at our institution were replanned using the automated Elements planning workflow with prespecified templates.  ...  plan quality in automated planning.  ... 
doi:10.3389/fonc.2020.00346 pmid:32318331 pmcid:PMC7146086 fatcat:oivdr4ax3jgcpnvv7qptfmdxqa

Fully automated searching for the optimal VMAT jaw settings based on Eclipse Scripting Application Programming Interface (ESAPI) and RapidPlan knowledge-based planning

Yuliang Huang, Haizhen Yue, Meijiao Wang, Sha Li, Jian Zhang, Zhuolun Liu, Yibao Zhang
2018 Journal of Applied Clinical Medical Physics  
Therefore, ESAPI finalized dose-volume calculation and eliminated the plans with unacceptable hotspots before comparison. The plan quality varied dramatically with different jaw settings.  ...  Methods and materials: Using an ESAPI script, the X jaws of rectal VMAT plans were initially set to conform the planning-target-volume (PTV), and were gradually extended toward the isocenter (PTV center  ...  To simplify the collective consideration of all OAR dose indices, a plan scoring function was proposed to quantify the plan quality, whose values were calculated for each plan by postprocessing the text  ... 
doi:10.1002/acm2.12313 pmid:29577614 pmcid:PMC5978713 fatcat:rnbjn7nvd5hsrdgzcq544obmcq
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