scholarly journals Tinkering and overruling the computer decision support system: Working strategies of telephone triage nurses who assess the urgency of callers suspected of having an acute cardiac event

2020 ◽  
Vol 29 (7-8) ◽  
pp. 1175-1186 ◽  
Author(s):  
Loes T. Wouters ◽  
Dorien L. Zwart ◽  
Daphne C. Erkelens ◽  
Marlies Huijsmans ◽  
Arno W. Hoes ◽  
...  
Keyword(s):  
Decision Support ◽  
Decision Support System ◽  
Support System ◽  
Cardiac Event ◽  
Telephone Triage ◽  
Acute Cardiac Event ◽  
Computer Decision Support

A prototype computer decision support system for the management of asthma

1996 ◽  
Vol 20 (1) ◽  
pp. 45-55 ◽  
Author(s):  
Tony Austin ◽  
Steve Iliffe ◽  
Mark Leaning ◽  
Mike Modell
Keyword(s):  
Decision Support ◽  
Decision Support System ◽  
Support System ◽  
Computer Decision Support

The Decision Support System and Conventional Method of Telephone Triage by Nurses in Emergency Medical Services

2018 ◽  
Vol 14 (1) ◽  
pp. 77-88
Author(s):  
Mohammad Parvaresh Masoud ◽  
Mahdi Kashani Nejad ◽  
Hamid Darebaghi ◽  
Mohsen Chavoshi ◽  
Mahdi Farahani
Keyword(s):  
Decision Support ◽  
Decision Support System ◽  
Support System ◽  
Cost Of Care ◽  
Telephone Triage ◽  
Emergency Nurses ◽  
Time Duration ◽  
Emergency Medical ◽  
Significant Difference ◽  
Quasi Experimental

The demand for medical emergencies often begins with a call to a dispatch center. An appropriate performance of this unit influences providing effective services significantly. This study aimed to compare the effect of using revised New Jersey telephone triage manual as a Decision Support System and the conventional methods on the time duration of mission taking and the performance of emergency medical dispatchers which were done by 115 emergency nurses of Qom, Iran, in 2012.This quasi-experimental study aimed to compare the effects of two methods on the performance of nurses of Qom. Conventional (September and October) and DSS data (December and January) were extracted and compared. November was skipped due to nurses' familiarity with the program. Performing the new method improved the overall performance significantly (P < 0.05). The DSS method increased the appropriate performance and decreased inappropriate performance significantly, but in the time duration of mission taking there was no a significant difference comparing two methods (p = 0.342). This method has been shown to improve both patient outcomes, as well as the cost of care.

Designing an outcome-oriented computer decision-support system for cardiovascular ICU?A preliminary report

1991 ◽  
Vol 15 (5-6) ◽  
pp. 359-377 ◽  
Author(s):  
Francis Lau ◽  
Daniel Vincent ◽  
Don Fenna ◽  
Randy Goebel ◽  
Dennis Modry
Keyword(s):  
Decision Support ◽  
Decision Support System ◽  
Support System ◽  
Preliminary Report ◽  
Computer Decision Support

scholarly journals Psychopharmacological Treatment in the RAISE-ETP Study: Outcomes of a Manual and Computer Decision Support System Based Intervention

2018 ◽  
Vol 175 (2) ◽  
pp. 169-179 ◽  
Author(s):  
Delbert G. Robinson ◽  
Nina R. Schooler ◽  
Christoph U. Correll ◽  
Majnu John ◽  
Benji T. Kurian ◽  
...  
Keyword(s):  
Decision Support ◽  
Decision Support System ◽  
Support System ◽  
Psychopharmacological Treatment ◽  
Computer Decision Support

Use of a Computer Decision Support System and Antimicrobial Therapy Appropriateness

2013 ◽  
Vol 34 (6) ◽  
pp. 558-565 ◽  
Author(s):  
Gregory A. Filice ◽  
Dimitri M. Drekonja ◽  
Joseph R. Thurn ◽  
Thomas S. Rector ◽  
Galen M. Hamann ◽  
...  
Keyword(s):  
Decision Support ◽  
Decision Support System ◽  
Support System ◽  
Multivariable Analysis ◽  
Veterans Affairs ◽  
Drug Selection ◽  
Department Of Veterans Affairs ◽  
Record System ◽  
Computerized Patient Record ◽  
Computer Decision Support

Objective.To determine whether antimicrobial (AM) courses ordered with an antimicrobial computer decision support system (CDSS) were more likely to be appropriate than courses ordered without the CDSS.Design.Retrospective cohort study. Blinded expert reviewers judged whether AM courses were appropriate, considering drug selection, route, dose, and duration.Setting.A 279-bed university-affiliated Department of Veterans Affairs (VA) hospital.Patients.A 500-patient random sample of inpatients who received a therapeutic AM course between October 2007 and September 2008.Intervention.An optional CDSS, available at the point of order entry in the VA computerized patient record system.Results.CDSS courses were significantly more likely to be appropriate (111/254, 44%) compared with non-CDSS courses (81/246, 33%, P = .013). Courses were more likely to be appropriate when the initial provider diagnosis of the condition being treated was correct (168/273, 62%) than when it was incorrect, uncertain, or a sign or symptom rather than a disease (24/227, 11%, P< .001). In multivariable analysis, CDSS-ordered courses were more likely to be appropriate than non-CDSS-ordered courses (odds ratio [OR], 1.83; 95% confidence interval [CI], 1.13–2.98). Courses were also more likely to be judged appropriate when the initial provider diagnosis of the condition being treated was correct than when it was incorrect, uncertain, or a sign or symptom rather than a disease (OR, 3.56; 95% CI, 1.4-9.0).Conclusions.Use of the CDSS was associated with more appropriate AM use. To achieve greater improvements, strategies are needed to improve provider diagnoses of syndromes that are infectious or possibly infectious.

Sign in / Sign up

Export Citation Format

Share Document