Impact of an electronic information system on physician workflow and data collection in the intensive care unit

2000 ◽  
Vol 27 (1) ◽  
pp. 122-130 ◽  
Author(s):  
M. Apkon ◽  
P. Singhaviranon
Keyword(s):  
Intensive Care Unit ◽  
Information System ◽  
Intensive Care ◽  
Data Collection ◽  
Electronic Information ◽  
Electronic Information System

Diagnosis of Auditory Neuropathy Spectrum Disorder in the Neonatal Intensive Care Unit Population

2021 ◽  
pp. 019459982110298
Author(s):  
Chengetai Mahomva ◽  
Yi-Chun Carol Liu ◽  
Nikhila Raol ◽  
Samantha Anne
Keyword(s):  
Intensive Care Unit ◽  
Information System ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Health Information ◽  
Neonatal Intensive Care ◽  
Health Information System ◽  
Auditory Neuropathy ◽  
Spectrum Disorder ◽  
Nicu Admission

Objective To determine the incidence of auditory neuropathy spectrum disorder (ANSD) and its risk factors among the neonatal intensive care unit (NICU) population from 2009 to 2018 in the Pediatric Health Information System database. Study Design Retrospective national database review. Setting Population-based study. Methods The Pediatric Health Information System database was queried to identify patients ≤18 years old with NICU admission and ANSD diagnosis. Patient demographics, jaundice diagnosis, use of mechanical ventilation, extracorporeal membrane oxygenation, furosemide, and/or aminoglycosides were extracted. Multivariable linear regression was used to assess trends in incidence. Chi-square analysis was used to assess differences between patients with and without ANSD. Logistic regression was used to assess factors associated with ANSD. Results From 2009 to 2018, there was an increase in (1) NICU admissions from 14,079 to 24,851 ( P < .001), (2) total ANSD diagnoses from 92 to 1847 ( P = .001), and (3) annual total number of patients with ANSD and NICU admission increased from 4 to 16 ( P = .005). There was strong correlation between the increases in total number of NICU admissions and total ANSD diagnoses over time ( R = 0.76). The average ANSD incidence was 0.052% with no statistically significant change over 10 years. When compared with all NICU admissions, children with ANSD had a higher association with use of furosemide ( P < .001) and ventilator ( P < .001). Conclusion Despite a statistically significant increase in NICU admissions and total ANSD diagnosis, the incidence of ANSD in the NICU population has not increased from 2009 to 2018. Furosemide and mechanical ventilator use were associated with increased likelihood of ANSD.

scholarly journals Estratégias na Implantação do Sistema Eletrônico de Informações / Strategies in the Implementation of the Electronic Information System

2021 ◽  
Vol 15 (55) ◽  
pp. 278-294
Author(s):  
Teófilo Barbosa da Silva ◽  
Rafael Rodrigues Carvalho ◽  
Alessandra Carla Ceolin
Keyword(s):  
Information System ◽  
Electronic Information ◽  
Electronic Information System

Este artigo teve como objetivo realizar uma análise das estratégias adotadas pelo poder executivo do Estado de Pernambuco a partir do processo de implantação do Sistema Eletrônico de Informações (SEI) em diferentes órgãos e entidades. Trata-se de um estudo de caso e para obtenção dos dados utilizou-se da técnica de entrevista semiestruturada, realizando duas entrevistas presenciais e individuais, gravadas em áudio e posteriormente transcritas para a análise. Os resultados indicam que a estratégia de implantação do SEI por entidade foi fator determinante para o sucesso do projeto. Também contribuíram para o êxito do projeto a utilização do conhecimento e mão-de-obra dos próprios servidores bem como o uso destes na função de multiplicadores para treinar a maior quantidade possível de usuários. A despeito da implantação do SEI ter sido considerada bem-sucedida pelos entrevistados, um ponto elencado por eles que precisa ser melhorado é o apoio da alta administração. A principal resistência esteve na questão cultural, devido a mudança de sair do papel para o processo eletrônico.

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