Journal ArticleDOI
Impact of a Novel Multiparameter Decision Support System on Intraoperative Processes of Care and Postoperative Outcomes.
TLDR
The use of an intraoperative decision support system with real-time visualizations was associated with improved process measures, but not postoperative clinical outcomes.Abstract:
Background:The authors hypothesized that a multiparameter intraoperative decision support system with real-time visualizations may improve processes of care and outcomes.Methods:Electronic health record data were retrospectively compared over a 6-yr period across three groups: experimental cases, inread more
Citations
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Journal ArticleDOI
Considerations for Integration of Perioperative Electronic Health Records Across Institutions for Research and Quality Improvement: The Approach Taken by the Multicenter Perioperative Outcomes Group.
Douglas A. Colquhoun,Amy Shanks,Steven R. Kapeles,Nirav Shah,Leif Saager,Michelle T. Vaughn,Kathryn Buehler,Michael L. Burns,Kevin K. Tremper,Robert E. Freundlich,Michael F. Aziz,Sachin Kheterpal,Michael R. Mathis +12 more
TL;DR: This special article outlines how the Multicenter Perioperative Outcomes Group has approached considerations of data structure, validation, and accessibility to support multicenter integration of perioperative EHRs.
Journal ArticleDOI
The Curse of Dimensionality.
Journal ArticleDOI
Triple-low Alerts Do Not Reduce Mortality: A Real-time Randomized Trial
Daniel I. Sessler,Alparslan Turan,Wolf H. Stapelfeldt,Edward J. Mascha,Dongsheng Yang,Ehab Farag,Jacek B. Cywinski,Claudene Vlah,Tatyana Kopyeva,Allen L. Keebler,Mauricio Perilla,Mangakalaraip Ramachandran,Sean Drahuschak,Kristina Kaple,Andrea Kurz +14 more
TL;DR: Real-time alerts to triple-low events did not lead to a reduction in 90-day mortality, and there were fewer responses to alerts than expected, however, similar mortality with and without responses suggests that there is no strong relationship between responses to double- low events and mortality.
Journal ArticleDOI
Use of a novel electronic maternal surveillance system to generate automated alerts on the labor and delivery unit.
TL;DR: The automated paging algorithm developed for this software dramatically reduces paging frequency compared to paging for isolated vital sign abnormalities alone, which is designed to reduce cognitive bias and improve timely clinical recognition of maternal deterioration.
Journal ArticleDOI
Situation Awareness-Oriented Patient Monitoring with Visual Patient Technology: A Qualitative Review of the Primary Research.
David W. Tscholl,Julian Rössler,Sadiq Said,Alexander Kaserer,Donat R. Spahn,Christoph B. Nöthiger +5 more
TL;DR: This comprehensive review of Visual Patient research is the foundation for an evaluation of the technology in clinical applications, starting with a high-fidelity simulation study in early 2020.
References
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Journal ArticleDOI
The Strengthening the Reporting of Observational Studies in Epidemiology [STROBE] statement: guidelines for reporting observational studies
Erik von Elm,Douglas G. Altman,Matthias Egger,Matthias Egger,Stuart J. Pocock,Peter C Gøtzsche,Jan P. Vandenbroucke +6 more
TL;DR: The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) initiative developed recommendations on what should be included in an accurate and complete report of an observational study, resulting in a checklist of 22 items (the STROBE statement) that relate to the title, abstract, introduction, methods, results, and discussion sections of articles.
Journal ArticleDOI
The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies
Erik von Elm,Douglas G. Altman,Matthias Egger,Matthias Egger,Stuart J. Pocock,Peter C Gøtzsche,Jan P. Vandenbroucke +6 more
TL;DR: The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Initiative developed recommendations on what should be included in an accurate and complete report of an observational study, resulting in a checklist of 22 items that relate to the title, abstract, introduction, methods, results, and discussion sections of articles.
Journal ArticleDOI
The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: Guidelines for Reporting Observational Studies
E von Elm,Douglas G. Altman,Matthias Egger,Matthias Egger,Stuart J. Pocock,Peter C Gøtzsche,Jan P. Vandenbroucke +6 more
TL;DR: The STROBE Statement is a checklist of items that should be addressed in articles reporting on the 3 main study designs of analytical epidemiology: cohort, casecontrol, and cross-sectional studies; these recommendations are not prescriptions for designing or conducting studies.
Journal ArticleDOI
Coding algorithms for defining comorbidities in ICD-9-CM and ICD-10 administrative data.
Hude Quan,Vijaya Sundararajan,Patricia Halfon,Andrew Fong,Bernard Burnand,Jean-Christophe Luthi,L. Duncan Saunders,Cynthia A. Beck,Thomas E Feasby,William A. Ghali +9 more
TL;DR: A multistep process to develop ICD-10 coding algorithms to define Charlson and Elixhauser comorbidities in administrative data and assess the performance of the resulting algorithms found these newly developed algorithms produce similar estimates ofComorbidity prevalence in administrativeData, and may outperform existing I CD-9-CM coding algorithms.
Journal ArticleDOI
An Introduction to Propensity Score Methods for Reducing the Effects of Confounding in Observational Studies
TL;DR: The propensity score is a balancing score: conditional on the propensity score, the distribution of observed baseline covariates will be similar between treated and untreated subjects, and different causal average treatment effects and their relationship with propensity score analyses are described.