Literature DB >> 8947756

Detecting alerts, notifying the physician, and offering action items: a comprehensive alerting system.

G J Kuperman1, J M Teich, D W Bates, F L Hiltz, J M Hurley, R Y Lee, M D Paterno.   

Abstract

We developed and evaluated a system to automatically identify serious clinical conditions in inpatients. The system notifies the patient's covering physician via his pager that an alert is present and offers potential therapies for the patient's condition (action items) at the time he views the alert information. Over a 6 month period, physicians responded to 1214 (70.2%) of 1730 alerts for which they were paged; they responded to 1002 (82.5% of the 1214) in less than 15 minutes. They said they would take action in 71.5% of the alerts, and they placed an order directly from the alert display screen in 39.4%. Further study is needed to determine if this alerting system improves processes or outcomes of care.

Entities:  

Mesh：

Year:  1996        PMID： 8947756      PMCID： PMC2233134     

Source DB:  PubMed          Journal:  Proc AMIA Annu Fall Symp        ISSN： 1091-8280


  9 in total

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Journal:  JAMA       Date:  1990-02-02       Impact factor: 56.272

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Authors:  G J Kuperman; J M Teich; D W Bates; J McLatchey; T G Hoff
Journal:  Proc Annu Symp Comput Appl Med Care       Date:  1995

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Journal:  Proc Annu Symp Comput Appl Med Care       Date:  1995

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Journal:  Proc Annu Symp Comput Appl Med Care       Date:  1993

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Authors:  K E Tate; R M Gardner; L K Weaver
Journal:  MD Comput       Date:  1990 Sep-Oct

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Authors:  D W Bates; A C O'Neil; D Boyle; J Teich; G M Chertow; A L Komaroff; T A Brennan
Journal:  J Am Med Inform Assoc       Date:  1994 Sep-Oct       Impact factor: 4.497

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Authors:  C Safran; W V Slack; H L Bleich
Journal:  MD Comput       Date:  1989 May-Jun

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Authors:  D M Rind; C Safran; R S Phillips; Q Wang; D R Calkins; T L Delbanco; H L Bleich; W V Slack
Journal:  Arch Intern Med       Date:  1994-07-11

9.  Coverage List: a provider-patient database supporting advanced hospital information services.

Authors:  F L Hiltz; J M Teich
Journal:  Proc Annu Symp Comput Appl Med Care       Date:  1994
  9 in total
  39 in total

1.  Design of a clinical notification system.

Authors:  M M Wagner; F C Tsui; J Pike; L Pike
Journal:  Proc AMIA Symp       Date:  1999

2.  Notification of real-time clinical alerts generated by pharmacy expert systems.

Authors:  J E Miller; R M Reichley; L A McNamee; S A Steib; T C Bailey
Journal:  Proc AMIA Symp       Date:  1999

3.  The use of an explanation algorithm in a clinical event monitor.

Authors:  W R Hogan; M M Wagner
Journal:  Proc AMIA Symp       Date:  1999

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Authors:  C A Reilly; R D Zielstorff; R L Fox; E M O'Connell; D L Carroll; K A Conley; P Fitzgerald; T K Eng; A Martin; C M Zidik; M Segal
Journal:  Proc AMIA Symp       Date:  2000

5.  Extending the VA CPRS electronic patient record order entry system using natural language processing techniques.

Authors:  C Lovis; T H Payne
Journal:  Proc AMIA Symp       Date:  2000

6.  Evaluation of a command-line parser-based order entry pathway for the Department of Veterans Affairs electronic patient record.

Authors:  C Lovis; M K Chapko; D P Martin; T H Payne; R H Baud; P J Hoey; S D Fihn
Journal:  J Am Med Inform Assoc       Date:  2001 Sep-Oct       Impact factor: 4.497

7.  The contributions of biomedical informatics to the fight against bioterrorism.

Authors:  Isaac S Kohane
Journal:  J Am Med Inform Assoc       Date:  2002 Mar-Apr       Impact factor: 4.497

8.  Bioinformatics and clinical informatics: the imperative to collaborate.

Authors:  I S Kohane
Journal:  J Am Med Inform Assoc       Date:  2000 Sep-Oct       Impact factor: 4.497

9.  Computerized reminders to physicians in the emergency department: a web-based system to report late-arriving abnormal laboratory results.

Authors:  Zhaohui Cai; Isaac Kohane; Gary R Fleisher; David S Greenes
Journal:  Proc AMIA Symp       Date:  2002

10.  Recognition of critical situations from time series of laboratory results by case-based reasoning.

Authors:  Lutz Fritsche; Alexander Schlaefer; Klemens Budde; Kay Schroeter; Hans-Hellmut Neumayer
Journal:  J Am Med Inform Assoc       Date:  2002 Sep-Oct       Impact factor: 4.497
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