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https://www.readbyqxmd.com/read/29358448/investigating-the-application-of-motion-accelerometers-as-a-sleep-monitoring-technique-and-the-clinical-burden-of-the-intensive-care-environment-on-sleep-quality-study-protocol-for-a-prospective-observational-study-in-australia
#1
Lori J Delaney, Marian J Currie, Hsin-Chia Carol Huang, Edward Litton, Bradley Wibrow, Violeta Lopez, Frank Van Haren
INTRODUCTION: Sleep is a state of quiescence that facilitates the significant restorative processes that enhance individuals' physiological and psychological well-being. Patients admitted to the intensive care unit (ICU) experience substantial sleep disturbance. Despite the biological importance of sleep, sleep monitoring does not form part of standard clinical care for critically ill patients. There exists an unmet need to assess the feasibility and accuracy of a range of sleep assessment techniques that have the potential to allow widespread implementation of sleep monitoring in the ICU...
January 21, 2018: BMJ Open
https://www.readbyqxmd.com/read/29144250/case-not-closed-prescription-errors-12-years-after-computerized-physician-order-entry-implementation
#2
COMPARATIVE STUDY
Gili Kadmon, Michal Pinchover, Avichai Weissbach, Shirley Kogan Hazan, Elhanan Nahum
OBJECTIVE: To assess the prolonged impact of computerized physician order entry (CPOE) on medication prescription errors in pediatric intensive care patients. STUDY DESIGN: This observational study was conducted at a pediatric intensive care unit in which a CPOE (Metavision, iMDsoft, Israel) with a limited clinical decision support system was implemented between 2004 and 2007. Since then, no changes were made to the systems. We analyzed 2500 electronic prescriptions (1250 prescriptions from 2015 and 1250 prescriptions from 2016)...
November 2017: Journal of Pediatrics
https://www.readbyqxmd.com/read/28986337/improving-neuromuscular-monitoring-and-reducing-residual-neuromuscular-blockade-with-e-learning-protocol-for-the-multicenter-interrupted-time-series-invert-study
#3
Jakob Louis Demant Thomsen, Ole Mathiesen, Daniel Hägi-Pedersen, Lene Theil Skovgaard, Doris Østergaard, Jens Engbaek, Mona Ring Gätke
BACKGROUND: Muscle relaxants facilitate endotracheal intubation under general anesthesia and improve surgical conditions. Residual neuromuscular blockade occurs when the patient is still partially paralyzed when awakened after surgery. The condition is associated with subjective discomfort and an increased risk of respiratory complications. Use of an objective neuromuscular monitoring device may prevent residual block. Despite this, many anesthetists refrain from using the device. Efforts to increase the use of objective monitoring are time consuming and require the presence of expert personnel...
October 6, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/28292221/investigation-of-the-usability-of-computerized-critical-care-information-systems-in-germany
#4
Falk von Dincklage, Klaudiusz Suchodolski, Gregor Lichtner, Wolfgang Friesdorf, Beatrice Podtschaske, Maximilian Ragaller
INTRODUCTION: The term "usability" describes how effectively, efficiently, and with what level of user satisfaction an information system can be used to accomplish specific goals. Computerized critical care information systems (CCISs) with high usability increase quality of care and staff satisfaction, while reducing medication errors. Conversely, systems lacking usability can interrupt clinical workflow, facilitate errors, and increase charting time. The aim of this study was to investigate and compare usability across CCIS currently used in Germany...
January 1, 2017: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/28214437/chempreview-an-augmented-reality-based-molecular-interface
#5
Min Zheng, Mark P Waller
Human computer interfaces make computational science more comprehensible and impactful. Complex 3D structures such as proteins or DNA are magnified by digital representations and displayed on two-dimensional monitors. Augmented reality has recently opened another door to access the virtual three-dimensional world. Herein, we present an augmented reality application called ChemPreview with the potential to manipulate bio-molecular structures at an atomistic level. ChemPreview is available at https://github.com/wallerlab/chem-preview/releases, and is built on top of the Meta 1 platform https://www...
May 2017: Journal of Molecular Graphics & Modelling
https://www.readbyqxmd.com/read/27540258/evaluation-of-an-electronic-paediatric-intensive-care-unit-picu-medication-reconciliation-mr-form
#6
Diane Murray, Cathy Sedgeworth, Moira Kinnear, Lesley Diack
AIM: To gather opinions from doctors and pharmacists to improve the design of the PICU MR form generated by the electronic prescribing and clinical notes system to support transfer of care from PICU to downstream wards that use paper systems. METHOD: A purposive sample of 10 forms covering a comprehensive range of medication information common to PICU patients was selected from practice between March 2014 and May 2014. Pharmacists (n=7) and doctors (n=9) who received these forms on downstream wards were invited to participate in semi-structured one-to-one interviews (n=20) with the PICU pharmacist within 48 hrs of receipt to explore their views about the form...
September 2016: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/26065216/-the-computerized-patient-record-as-a-tool-to-improve-monitoring-and-prevention-of-hospital-acquired-infections
#7
Stas Zusman, Alexander Axel, Liat Touderis, Eran Segal, Francisc Schlaeffer, Pnina Schlaeffer
One of the major issues medical institutions deal with is hospital acquired infections (HAI's) and the invasion of antibiotic resistant organisms into these institutions. Antibiotic resistance influences morbidity, mortality and costs. In order to effectively manage the field of infection control of HAI's we constructed computerized clinical tools. Via commercial computerized systems (MetaVision IMDSOFT, Israel) we created tools that facilitated transferring information and process infection control measures...
April 2015: Harefuah
https://www.readbyqxmd.com/read/23498713/acute-burn-induced-coagulopathy
#8
P B Sherren, J Hussey, R Martin, T Kundishora, M Parker, B Emerson
BACKGROUND: Acute traumatic coagulopathy is well described in the trauma population. Major burns are characterised by a similar endothelial injury and cellular hypoperfusion. These features could be a driver for an acute burn induced coagulopathy (ABIC). METHODS: Patients admitted to a regional burn centre over a 71 months period with a total body surface area burn of 30% or more were identified. The metavision electronic patient database was scrutinised for a predetermined list of demographics, interventions and admission investigations to identify any clinically significant ABIC...
September 2013: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/22354852/pharmacist-proactive-medication-recommendations-using-electronic-documentation-in-a-uk-general-critical-care-unit
#9
Richard S Bourne, Chui Lynn Choo
BACKGROUND: Specific data on the actual clinical practice of United Kingdom pharmacists in Critical Care are limited. Within the general critical care units of Sheffield Teaching Hospitals, clinical pharmacists have the facility to electronically document, communicate and follow-up proactive recommendations using a Pharmacy Review Form via the Clinical Information System, MetaVision(®). OBJECTIVE: The objective of the service evaluation was to describe the acceptance rate by medical staff of pharmacist proactive medication recommendations; including data on the types of recommendations and reasons thereof, for general intensive care patients of a UK teaching hospital trust...
April 2012: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/19534722/near-infrared-spectroscopy-in-healthy-preterm-and-term-newborns-correlation-with-gestational-age-and-standard-monitoring-parameters
#10
Lucia Gabriella Tina, Alessandro Frigiola, Raul Abella, Beatrice Artale, Gabriella Puleo, Savina D'Angelo, Cecilia Musmarra, Paolo Tagliabue, Giovanni Li Volti, Pasquale Florio, Diego Gazzolo
Near Infrared Spectroscopy (NIRS) is an emerging technique for brain oxygenation monitoring in newborns complicated by acute and chronic hypoxia. However, data regarding cerebral oxygenation normal values are still lacking and matter of debate. Therefore, we investigate whether NIRS parameters in healthy preterm/term infants are gestational age and delivery modalities dependent and correlate with standard monitoring parameters. From January to December 2007, 100 healthy newborns with gestational age from 30 to 42 weeks' gestation were evaluated...
August 2009: Current Neurovascular Research
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