Algorithms in Medicine
John W. Sharp, eHealth
“Algorithms have a growing place in medicine. There are at least two kinds of algorithms – practice guidelines and predictive.
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Intensive care
Bedside Nurses’ Perceptions of Intensive Care Unit Telemedicine
Mullen-Fortino M et al, American Journal of Critical Care, 21(1)
Background
Intensive care unit telemedicine is an innovative approach to providing critical care services for a broad geographic area, but its success may depend on acceptance by bedside providers.
Objectives
To determine critical care nurses’ attitudes toward and perceptions about the use of telemedicine in critical care.
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A usability evaluation of a SNOMED CT based compositional interface terminology for intensive care
Bakhshi-Raiez F et al, International Journal of Medical Informatics, 2011
Objective
To evaluate the usability of a large compositional interface terminology based on SNOMED CT and the terminology application for registration of the reasons for intensive care admission in a Patient Data Management System.
Design
Observational study with user-based usability evaluations before and 3 months after the system was implemented and routinely used.
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UK snaps up patient tracker system ignored by local hospitals
Sue Dunlevy, The Australian
“IT cuts admissions to intensive care units by half, reduces patient deaths and the time spent in hospital. But no Australian hospital will adopt an electronic patient tracking system developed here. Instead, it is being sold overseas.
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Children’s Hospital Los Angeles Team Pioneers Telemedicine in Neonatal Intensive Care
Business Wire
“A team of neonatologists at Children’s Hospital Los Angeles have published the first research paper indicating that the use of a remote-controlled, robotic telemedicine system in the neonatal intensive care unit (NICU) is feasible and safe. The investigators report good to excellent agreement, in most areas, when comparing the assessments made by onsite compared with off-site neonatologists controlling the robot from a remote location.
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Clinical Events Classification for using the EHR to provide better patient care
Lugovkina T, Richards B. Medical and Care Compunetics 6, 2010
The Healthcare Record has been used in a “Before and After” situation to improve patient care. The main paradigm of the modern Health Care is changing towards pervasive person-centric care including prevention and home care. Medical compunetics is a very important applicative field for improving the interoperability and the quality of the healthcare information system, especially in the current climate with the empowerment patients. The success depends on the choice of the Clinical Events Classification for structuring the span of clinical information.
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Association of Health Information Technology and Teleintensivist Coverage With Decreased Mortality and Ventilator Use in Critically Ill Patients
McCambridge M, et al. Arch Intern Med, 170(7)
Background
Little evidence exists to support implementing various health information technologies, such as telemedicine, in intensive care units.
Methods
A coordinated health information technology bundle (HITB) was implemented along with remote intensivist coverage (RIC) at a 727-bed academic community hospital. Critical care specialists provided bedside coverage during the day and RIC at night to achieve intensivist coverage 24 hours per day, 7 days per week. We evaluated the effect of HITB-RIC on mortality, ventilator and vasopressor use, and the intervention length of stay. We compared our results with those achieved at baseline.
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Informatics infrastructure for syndrome surveillance, decision support, reporting, and modeling of critical illness
Herasevich, Vitaly et al, Mayo Clinic Proceedings, 85(3)
OBJECTIVE:
To develop and validate an informatics infrastructure for syndrome surveillance, decision support, reporting, and modeling of critical illness.
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Innovative Information Technologies Connect Hospitals, Experts and Patients
eHealthServer
“GE Healthcare is bringing to market a global vision of eHealth that encompasses solutions and services enabling the exchange, sharing, workflow and distribution of images and clinical information across multiple hospitals, regions or nations. The goal is to connect patients, physicians, care providers, payers, GP offices, pharmacies, laboratories and others.
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