The purpose of this study was to estimate geographical patient flow to hospitals during winter seasons using simulation analysis. We used probe data collected from car navigation systems and performed a Geographical Information System (GIS)-based analysis to determine the relationship between travel time to hospitals and winter road conditions. Accessibility to hospitals based on travel time in summer and winter was overlayed on a map to demonstrate the increase in travel time during winter.
Vania Teixeira, Luciana Rubin, Romina Rebrij, Alvaro Tamborindeguy, Rodrigo Martinez, Juan Carlos Bacigalupo, Daniel Luna
1384 - 1384
The aim of this study is to describe the implementation and evaluation of an outsourced Clinical Decision Support Systems (CDSS) service of drug-drug interaction (DDI) alerts in an Uruguayan outpatient healthcare network. A cross-sectional study was developed. 1.5 alerts were triggered of every 1000 prescriptions. Clinicians accepted 44% of the total alerts. In conclusion, the implementation of CDSS was achievable.
Adam Wright, Trang T. Hickman, Dustin McEvoy, Skye Aaron, Angela Ai, Joan S. Ash, Jan Marie Andersen, Rachel Ramoni, Milos Hauskrecht, Peter Embi, Richard Schreiber, Dean F. Sittig, David W. Bates
1385 - 1385
Clinical decision support systems, when used effectively, can improve the quality of care. However, such systems can malfunction, and these malfunctions can be difficult to detect. In this poster, we describe four methods of detecting and resolving issues with clinical decision support: 1) statistical anomaly detection, 2) visual analytics and dashboards, 3) user feedback analysis, 4) taxonomization of failure modes/effects.
This study revealed the numeric error patterns related to dosage when doctors prescribed in computerized physician order entry system. Error categories showed that the ‘6’,‘7’, and ‘9’ key produced a higher incidence of errors in Numpad typing, while the ‘2’,‘3’, and ‘0’ key produced a higher incidence of errors in main keyboard digit line typing. Errors categorized as omission and substitution were higher in prevalence than transposition and intrusion.
The use of smart devices in medical information systems is progressing. In addition, correspondence of communication functions in medical equipment is advancing. For this reason, and in order to establish the ubiquitous environment in hospitals, we developed an environment in which multiple wireless communications can be used.
A content analysis was performed to investigate core curriculum in master degree programs for patient safety. Twenty programs from six countries and 179 core curriculum/modules were extracted and reviewed. The curricula were compared to the topics recommended in WHO's Multi-professional Patient Safety Curriculum Guide and the core content relevant to patient safety issues in IMIA/AMIA recommendations for health informatics education. The differences between the identified curricula with those addressed in the aforementioned Guide/Recommendations were examined.