A collaborative framework for contributing DICOM RT PHI (Protected Health Information) to augment data mining in clinical decision support

2014 ◽  
Author(s):  
Ruchi Deshpande ◽  
Wanwara Thuptimdang ◽  
John DeMarco ◽  
Brent J. Liu
2018 ◽  
Vol 2018 ◽  
pp. 1-10
Author(s):  
Rogier van de Wetering

Modern hospitals increasingly make use of innovations and information technology (IT) to improve workflow and patient’s clinical journey. Typical innovative solutions include patient records and clinical decision support systems to enhance the process of decision making by doctors and other healthcare practitioners. However, currently, it remains unclear how hospitals could facilitate and enable such a decision support capability in clinical practice. We ground our work on the resource-based view of the firm and put forth the notion of IT-enabled capabilities which emphasizes critical IT investment and capability development areas that hospitals could exploit in their quest to improve clinical decision support. We develop a research model that explains how “health information exchange” and enhanced “information capability” collectively drive a hospital’s “clinical decision support capability.” We used partial least squares path modeling on large-scale cross-sectional data from 720 European hospitals. Outcomes suggest that health information exchange positively impacts information capability. In turn, information capability complementary partially mediates the relationship between information exchange and clinical decision support. Hence, this research contributes to the literature on clinical decision support and provides valuable insights into how to support such innovative technologies and capabilities in clinical practice. We conclude with a discussion and conclusion. Also, we outline the inherent limitations of this study and outline directions for future research.


2019 ◽  
Vol 26 (1) ◽  
pp. 642-651
Author(s):  
Laura Schubel ◽  
Danielle L Mosby ◽  
Joseph Blumenthal ◽  
Muge Capan ◽  
Ryan Arnold ◽  
...  

In caring for patients with sepsis, the current structure of electronic health record systems allows clinical providers access to raw patient data without imputation of its significance. There are a wide range of sepsis alerts in clinical care that act as clinical decision support tools to assist in early recognition of sepsis; however, there are serious shortcomings in existing health information technology for alerting providers in a meaningful way. Little work has been done to evaluate and assess existing alerts using implementation and process outcomes associated with health information technology displays, specifically evaluating clinician preference and performance. We developed graphical model displays of two popular sepsis scoring systems, quick Sepsis Related Organ Failure Assessment and Predisposition, Infection, Response, Organ Failure, using human factors principles grounded in user-centered and interaction design. Models will be evaluated in a larger research effort to optimize alert design to improve the collective awareness of high-risk populations and develop a relevant point-of-care clinical decision support system for sepsis.


Cancer ◽  
2016 ◽  
Vol 123 (1) ◽  
pp. 114-121 ◽  
Author(s):  
Tejal A. Patel ◽  
Mamta Puppala ◽  
Richard O. Ogunti ◽  
Joe E. Ensor ◽  
Tiancheng He ◽  
...  

Author(s):  
Reza S. Kazemzadeh ◽  
Kamran Sartipi ◽  
Priya Jayaratna

Due to reliance on human knowledge, the practice of medicine is subject to errors that endanger patients’ health and cause substantial financial loss to healthcare institutions. Computer-based decision support systems assist healthcare personnel to improve quality of clinical practice. Currently, most clinical guideline modeling languages represent decision-making knowledge in terms of basic logical expressions. In this paper, we focus on encoding, sharing, and using results of data mining analyses to influence decision making within Clinical Decision Support Systems. A knowledge management framework is proposed that addresses the issues of data and knowledge interoperability by adopting healthcare and data mining modeling standards. In a further step, data mining results are incorporated into a guideline-based decision support system. A prototype tool has been developed to provide an environment for clinical guideline authoring and execution. Also, three real world case studies have been presented, one of which is used as a running example throughout the paper.


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