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22
February, 2012
Wednesday

Intensive care unit

Report: Cultural, reimbursement barriers thwart robotic telemed adoption

Jeff Byers, Cardiovascular Business

“Licensing, costs for technology and reimbursement for robotic telemedicine (RTM) continue to impede progress, according to an article published in the January/February edition of Telemedicine and e-Health.
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18 January 2012 | No Comments »
Categories: News | Country: United States | Tag(s): Adoption, Intensive care unit, Robot, Telemedicine

Impact of Computerized Physician Order Entry (CPOE) System on the Outcome of Critically Ill Adult Patients: A Before-After Study

Al-Dorzi HM et al, BMC Medical Informatics and Decision Making, 11

Background
Computerized physician order entry (CPOE) systems are recommended to improve patient safety and outcomes. However, their effectiveness has been questioned. Our objective was to evaluate the impact of CPOE implementation on the outcome of critically ill patients.
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21 November 2011 | No Comments »
Categories: Science | Country: Saudi Arabia | Tag(s): CPOE, Intensive care unit, Patient Safety

Govt hospitals get ICU on Wheels

The Times of India

“Gujarat health minister Jaynarayan Vyas enhanced the state’s healthcare infrastructure by adding 24 new state-of-the-art ambulances – ICU on Wheels – to government hospitals’ resources on Thursday.
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5 November 2011 | No Comments »
Categories: News | Country: India | Tag(s): Hospitals, Intensive care unit, mobile, Telemedicine

A novel method for inferring RFID tag reader recordings into clinical events

Chang Y-T et al, International Journal of Medical Informatics, 2011

Background
Nosocomial infections (NIs) are among the important indicators used for evaluating patients’ safety and hospital performance during accreditation of hospitals. NI rate is higher in Intensive Care Units (ICUs) than in the general wards because patients require intense care involving both invasive and non-invasive clinical procedures. The emergence of Superbugs is motivating health providers to enhance infection control measures. Contact behavior between health caregivers and patients is one of the main causes of cross infections. In this technology driven era remote monitoring of patients and caregivers in the hospital setting can be performed reliably, and thus is in demand. Proximity sensing using radio frequency identification (RFID) technology can be helpful in capturing and keeping track on all contact history between health caregivers and patients for example.
[ More ]

27 October 2011 | No Comments »
Categories: Science | Country: Taiwan | Tag(s): Intensive care unit, RFID

Feasibility and observed safety of interactive video games for physical rehabilitation in the intensive care unit: a case series

Kho ME et al, Journal of Critical Care, 2011

Background
Early rehabilitation in the intensive care unit (ICU) improves patients’ physical function. Despite reports of using commercially available interactive video game systems for rehabilitation, there are few data evaluating feasibility and safety as part of routine in-patient rehabilitation, particularly in the ICU.
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12 October 2011 | No Comments »
Categories: Science | Country: United States | Tag(s): games, Intensive care unit, Physiotherapy, Rehabilitation, Video

Washington University Researchers Seek to Bring Mobility to ICU Patients

Claire Swedberg, RFID Journal

“At Barnes-Jewish Hospital, located in St. Louis, Mo., researchers are testing a ZigBee-based RFID sensor system that tracks patients’ vital signs. The solution provides hospital employees with data regarding the vital signs of patients moving about the facility, using a sensor attached to the finger, and a transmitter worn around the neck.
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13 August 2011 | No Comments »
Categories: News | Country: United States | Tag(s): Intensive care unit, Mobility, RFID, Sensors

E-Prescribing May Increase Medication Errors

Neil Versel, InformationWeek

“Computerized physician order entry (CPOE), backed with clinical decision support (CDS), has long been considered an essential component of an electronic health record (EHR) because it is supposed to decrease duplication of orders and help prevent medical errors. But a new study suggests that some CPOE systems could be having exactly the opposite effect.
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13 August 2011 | No Comments »
Categories: News | Country: United States | Tag(s): CPOE, Intensive care unit, Medication Errors

Factors contributing to an increase in duplicate medication order errors after CPOE implementation

Wetterneck TB et al, J Am Med Inform Assoc, 2011

Objective
To evaluate the incidence of duplicate medication orders before and after computerized provider order entry (CPOE) with clinical decision support (CDS) implementation and identify contributing factors.
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13 August 2011 | No Comments »
Categories: Science | Country: United States | Tag(s): CPOE, Decision Support, Implementation, Intensive care unit

Model development for EHR interdisciplinary information exchange of ICU common goals

Collins SA et al, International Journal of Medical Informatics, 2010

Purpose
Effective interdisciplinary exchange of patient information is an essential component of safe, efficient, and patient-centered care in the intensive care unit (ICU). Frequent handoffs of patient care, high acuity of patient illness, and the increasing amount of available data complicate information exchange. Verbal communication can be affected by interruptions and time limitations. To supplement verbal communication, many ICUs rely on documentation in electronic health records (EHRs) to reduce errors of omission and information loss. The purpose of this study was to develop a model of EHR interdisciplinary information exchange of ICU common goals.
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29 October 2010 | No Comments »
Categories: Science | EHR: EHR | Tag(s): Communication, Decision Making, Intensive care unit

Has information technology finally been adopted in Flemish intensive care units?

Colpaert K et al, BMC Medical Informatics and Decision Making, 10(1)

Background
Information technology (IT) may improve the quality, safety and efficiency of medicine, and is especially useful in intensive Care Units (ICUs) as these are extremely data-rich environments with round-the-clock changing parameters. However, data regarding the implementation rates of IT in ICUs are scarce, and restricted to non-European countries. The current paper aims to provide relevant information regarding implementation of IT in Flemish ICU’s (Flanders, Belgium).
[ More ]

23 October 2010 | No Comments »
Categories: Science | Country: Belgium | EHR: EHR, EHR Belgium | Tag(s): CPOE, Health Information Technology, Hospitals, Intensive care unit

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