keyword
MENU ▼
Read by QxMD icon Read
search

alert fatigue

keyword
https://www.readbyqxmd.com/read/29446193/impact-of-nonintrusive-clinical-decision-support-systems-on-laboratory-test-utilization-in-a-large-academic-centre
#1
Kevin P Eaton, Natasha Chida, Ariella Apfel, Leonard Feldman, Adena Greenbaum, Susan Tuddenham, Emily A Kendall, Amit Pahwa
BACKGROUND: The near-universal prevalence of electronic health records (EHRs) has made the utilization of clinical decision support systems (CDSS) an integral strategy for improving the value of laboratory ordering. Few studies have examined the effectiveness of nonintrusive CDSS on inpatient laboratory utilization in large academic centres. METHODS: Red blood cell folate, hepatitis C virus viral loads and genotypes, and type and screens were selected for study...
February 15, 2018: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/29445517/autonomic-components-of-complex-regional-pain-syndrome-crps-are-favourably-affected-by-electrical-twitch-obtaining-intramuscular-stimulation-etoims-effects-on-blood-pressure-and-heart-rate
#2
Jennifer Chu, Frans Bruyninckx, Duncan V Neuhauser
Introduction: Favourable pain relief results on evoking autonomous twitches at myofascial trigger points with Electrical Twitch Obtaining Intramuscular Stimulation (ETOIMS). Aim: To document autonomic nervous system (ANS) dysfunction in Complex Regional Pain Syndrome (CRPS) from blood pressure (BP) and pulse/heart rate changes with ETOIMS. Methods and materials: A patient with persistent pain regularly received serial ETOIMS sessions of 60, 90, 120 or ≥150 min over 24 months...
July 2017: BMJ Innovations
https://www.readbyqxmd.com/read/29436466/evaluation-of-prescriber-responses-to-pharmacogenomics-clinical-decision-support-for-thiopurine-s-methyltransferase-testing
#3
Samuel Ubanyionwu, Christine M Formea, Benjamin Anderson, Kelly Wix, Ross Dierkhising, Pedro J Caraballo
PURPOSE: Results of a study of prescribers' responses to a pharmacogenomics-based clinical decision support (CDS) alert designed to prompt thiopurine S -methyltransferase (TPMT) status testing are reported. METHODS: A single-center, retrospective, chart review-based study was conducted to evaluate prescriber compliance with a pretest CDS alert that warned of potential thiopurine drug toxicity resulting from deficient TPMT activity due to TPMT gene polymorphism. The CDS alert was triggered when prescribers ordered thiopurine drugs for patients whose records did not indicate TPMT status or when historical thiopurine use was documented in the electronic health record...
February 15, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/29379092/malignancy-dominated-with-rheumatic-manifestations-a-retrospective-single-center-analysis
#4
Jian Wen, Han Ouyang, Ru Yang, Lin Bo, Yi Zhang, Mei Tang, Zhichun Liu
Paraneoplastic rheumatic syndromes comprise a heterogeneous group of disorders characterized by typical rheumatic manifestations but without direct invasion by the tumor or metastases. The clinical features and malignancy-associated risk factors of 21 patients with paraneoplastic rheumatic syndromes, including 11 men and 10 women with a mean age of 56.3 ± 13.1 years, were characterized by a retrospective review. All patients were diagnosed with malignancy within 2 years of rheumatism diagnosis. Patients suffering from solid malignancies accounted for the majority (62%); hematological malignancies were observed in the remainder...
January 29, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29376883/how-mental-fatigue-affects-the-neural-sources-of-p300-component
#5
Malihe Sabeti, Reza Boostani, Karim Rastgar
Accurate differentiation of mental fatigue levels by analyzing electroencephalogram (EEG) features is still a challenge. This deficiency is rooted in the inability of conventional EEG features to reveal significant changes amongst fatigue levels. From a different perspective, it is evident for evaluating the amount of alertness that characterizing the P300 component is widely used by performing a recognition task. The goal of this study is to classify the pre-task and post-task fatigue levels by tracking the spatial activation of their P300 sources compared to differentiating the P300 waveform features...
2018: Journal of Integrative Neuroscience
https://www.readbyqxmd.com/read/29367187/quality-of-decision-support-in-computerized-provider-order-entry-systematic-literature-review
#6
REVIEW
Delphine Carli, Guillaume Fahrni, Pascal Bonnabry, Christian Lovis
BACKGROUND: Computerized decision support systems have raised a lot of hopes and expectations in the field of order entry. Although there are numerous studies reporting positive impacts, concerns are increasingly high about alert fatigue and effective impacts of these systems. One of the root causes of fatigue alert reported is the low clinical relevance of these alerts. OBJECTIVE: The objective of this systematic review was to assess the reported positive predictive value (PPV), as a proxy to clinical relevance, of decision support systems in computerized provider order entry (CPOE)...
January 24, 2018: JMIR Medical Informatics
https://www.readbyqxmd.com/read/29356975/electrophysiological-and-behavioral-effects-of-frontal-transcranial-direct-current-stimulation-on-cognitive-fatigue-in-multiple-sclerosis
#7
Marina Fiene, Katharina S Rufener, Maria Kuehne, Mike Matzke, Hans-Jochen Heinze, Tino Zaehle
Fatigue is one of the most common and debilitating symptoms affecting patients with multiple sclerosis (MS). Sustained cognitive effort induces cognitive fatigue, operationalized as subjective exhaustion and fatigue-related objective alertness decrements with time-on-task. During prolonged cognitive testing, MS patients show increased simple reaction times (RT) accompanied by lower amplitudes and prolonged latencies of the P300 event-related potential. Previous studies suggested a major role of structural and functional abnormalities in the frontal cortex including a frontal hypo-activation in fatigue pathogenesis...
January 22, 2018: Journal of Neurology
https://www.readbyqxmd.com/read/29343201/the-impact-of-blackcurrant-juice-on-attention-mood-and-brain-wave-spectral-activity-in-young-healthy-volunteers
#8
A W Watson, E J Okello, H J Brooker, S Lester, G J McDougall, K A Wesnes
There is a growing body of evidence from randomized controlled trials which indicates that consumption of berries has a positive effect upon the cognitive function of healthy adults. It has been recommended that studies combining cognitive and physiological measures be undertaken in order to strengthen the evidence base for the putative effects of flavonoid consumption on cognitive outcomes. This pilot study utilized a randomized, double-blind and placebo controlled crossover design to assess the influence of the acute administration of anthocyanin-rich blackcurrant juice, standardized at 500 mg of polyphenols, on mood and attention...
January 17, 2018: Nutritional Neuroscience
https://www.readbyqxmd.com/read/29329456/designing-and-evaluating-an-automated-system-for-real-time-medication-administration-error-detection-in-a-neonatal-intensive-care-unit
#9
Yizhao Ni, Todd Lingren, Eric S Hall, Matthew Leonard, Kristin Melton, Eric S Kirkendall
Background: Timely identification of medication administration errors (MAEs) promises great benefits for mitigating medication errors and associated harm. Despite previous efforts utilizing computerized methods to monitor medication errors, sustaining effective and accurate detection of MAEs remains challenging. In this study, we developed a real-time MAE detection system and evaluated its performance prior to system integration into institutional workflows. Methods: Our prospective observational study included automated MAE detection of 10 high-risk medications and fluids for patients admitted to the neonatal intensive care unit at Cincinnati Children's Hospital Medical Center during a 4-month period...
January 10, 2018: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29324083/effects-of-napping-during-shift-work-on-sleepiness-and-performance-in-emergency-medical-services-personnel-and-similar-shift-workers-a-systematic-review-and-meta-analysis
#10
Christian Martin-Gill, Laura K Barger, Charity G Moore, J Stephen Higgins, Ellen M Teasley, Patricia M Weiss, Joseph P Condle, Katharyn L Flickinger, Patrick J Coppler, Denisse J Sequeira, Ayushi A Divecha, Margaret E Matthews, Eddy S Lang, P Daniel Patterson
BACKGROUND: Scheduled napping during work shifts may be an effective way to mitigate fatigue-related risk. This study aimed to critically review and synthesize existing literature on the impact of scheduled naps on fatigue-related outcomes for EMS personnel and similar shift worker groups. METHODS: A systematic literature review was performed of the impact of a scheduled nap during shift work on EMS personnel or similar shift workers. The primary (critical) outcome of interest was EMS personnel safety...
January 11, 2018: Prehospital Emergency Care
https://www.readbyqxmd.com/read/29297761/an-improved-model-to-predict-performance-under-mental-fatigue
#11
Henry T Peng, Fethi Bouak, Wenbi Wang, Renee Chow, Oshin Vartanian
Fatigue has become an increasing problem in our modern society. Using MATLAB as a generic modelling tool, a fatigue model was developed based on an existing one and compared with a commercial fatigue software for prediction of cognitive performance under total and partial sleep deprivation. The flexibility of our fatigue model allowed additions of new algorithms and mechanisms for non-sleep factors and countermeasures and thus improved model predictions and usability for both civilian and military applications...
January 8, 2018: Ergonomics
https://www.readbyqxmd.com/read/29259511/tolerance-of-sustained-ventricular-fibrillation-during-continuous-flow-left-ventricular-assist-device-support
#12
Andrew C W Baldwin, Courtney J Gemmato, Elena Sandoval, William E Cohn, Jeffrey A Morgan, O H Frazier
The widespread use of continuous-flow left ventricular assist devices for mechanical circulatory support has shown that long-term hemodynamic support is possible, even when a clinical "pulse" cannot be detected. We present the incidental discovery of ventricular fibrillation in 6 alert, hemodynamically stable patients supported only by a continuous-flow device (HeartMate II, n=5; Jarvik 2000, n=1). Ventricular fibrillation was found in 3 patients during routine outpatient follow-up visits and in 3 awaiting discharge from the hospital after device placement...
October 2017: Texas Heart Institute Journal
https://www.readbyqxmd.com/read/29246389/mitigating-passive-fatigue-during-monotonous-drives-with-thermal-stimuli-insights-into-the-effect-of-different-stimulation-durations
#13
Elisabeth Schmidt, Angelika C Bullinger
Driving on monotonous roads has been shown to cause passive fatigue as even non-sleep-deprived drivers suffer from the lack of stimuli. Consequently, alertness is reduced and the risk of accidents increases. To counteract this risk, measures need to be taken to mitigate driver fatigue. While in the past, some studies have been focused on the potential of thermal stimuli to reduce fatigue, their results seem inconclusive. Examining the study conditions in which the thermal stimuli were studied, it becomes obvious that the duration of the thermal stimulus strongly affects perceived fatigue...
December 12, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/29244170/sleep-deprivation-triggers-cognitive-control-impairments-in-task-goal-switching
#14
Hichem Slama, Daphne Olivia Chylinski, Gaétane Deliens, Rachel Leproult, Rémy Schmitz, Philippe Peigneux
Study objectives: This study investigates the impact of sleep deprivation (SD) on task-goal switching, a key component of cognitive flexibility. Methods: Task-goal switching performance was tested after one night of regular sleep (n = 17 participants) or of total SD (n = 18). To understand the relationships between task-switching performance and other cognitive processes following SD, participants were tested for other key attentional (alertness and vigilance) and executive (inhibition and working memory) functions...
December 13, 2017: Sleep
https://www.readbyqxmd.com/read/29237488/clinical-reminder-alert-fatigue-in-healthcare-a-systematic-literature-review-protocol-using-qualitative-evidence
#15
Ruth Backman, Susan Bayliss, David Moore, Ian Litchfield
BACKGROUND: Integrated reminders within clinical systems have become more prevalent due to the use of electronic health records and evidence demonstrating an increase in compliance within practice. Clinical reminders are assessed for effectiveness on an individual basis, rather than in combination with existing prompts for other conditions. The growing number of prompts may be counter-productive as healthcare professionals are increasingly suffering from "reminder fatigue" meaning many reminders are ignored...
December 13, 2017: Systematic Reviews
https://www.readbyqxmd.com/read/29233414/teaching-drug-utilization-review-skills-via-a-simulated-clinical-decision-making-exercise
#16
Cortney M Mospan, Katelyn M Alexander
BACKGROUND: Drug utilization review (DUR) is a central role of the pharmacist, especially within the community pharmacy setting. Previous literature has shown risk of "alert fatigue", supporting the necessity of pharmacists to utilize a step-wise approach in evaluation of drug therapy during the verification process. Many students are intimidated by this process, and may lack verification practice or experience until their first day as a licensed pharmacist. EDUCATIONAL ACTIVITY AND SETTING: An innovative skills-based laboratory exercise was developed for third-year pharmacy students to develop DUR skills...
March 2017: Currents in Pharmacy Teaching & Learning
https://www.readbyqxmd.com/read/29195711/better-specification-of-triggers-to-reduce-the-number-of-drug-interaction-alerts-in-primary-care
#17
Mette Heringa, Annet van der Heide, Annemieke Floor-Schreudering, Peter A G M De Smet, Marcel L Bouvy
OBJECTIVE: Drug interaction alerts (drug-drug and drug-disease interaction alerts) for chronic medications substantially contribute to alert fatigue in primary care. The aim of this study was to determine which events require (re)assessment of a drug interaction and whether using these events as triggers in clinical decision support systems (CDSSs) would affect the alert rate. METHODS: Two random 5% data samples from the CDSSs of 123 community pharmacies were used: dataset 1 and 2...
January 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29174330/association-between-commercial-vehicle-driver-at-fault-crashes-involving-sleepiness-fatigue-and-proximity-to-rest-areas-and-truck-stops
#18
Terry L Bunn, Svetla Slavova, Peter J Rock
INTRODUCTION: There is ongoing concern at the national level about the availability of adequate commercial vehicle rest areas and truck stops for commercial vehicle drivers to rest or to wait for a delivery window. METHODS: A retrospective case-control study was conducted to determine the association between the occurrence of sleepiness/fatigue-related (cases) vs. all other human factor-related commercial vehicle driver at-fault crashes (controls) and proximity to rest areas, weigh stations with rest havens, and truck stops...
November 22, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/29143576/a-nationwide-study-of-health-related-quality-of-life-stress-pain-or-discomfort-and-the-use-of-medicine-among-problem-gamblers
#19
Ola Ekholm, Michael Davidsen, Christina Viskum Lytken Larsen, Knud Juel
AIM: The aim of this study was to investigate the associations between problem gambling and health-related quality of life, stress, pain or discomfort and the use of analgesics and sleeping pills. METHODS: Data derives from the Danish Health and Morbidity Survey 2010. The survey was based on a random sample of 25,000 adult Danes (response rate: 61%), and data were collected via a self-administered questionnaire. The Lie/Bet Questionnaire was used as the screening instrument for problem gambling...
November 1, 2017: Scandinavian Journal of Public Health
https://www.readbyqxmd.com/read/29112077/technological-distractions-part-2-a-summary-of-approaches-to-manage-clinical-alarms-with-intent-to-reduce-alarm-fatigue
#20
REVIEW
Bradford D Winters, Maria M Cvach, Christopher P Bonafide, Xiao Hu, Avinash Konkani, Michael F O'Connor, Jeffrey M Rothschild, Nicholas M Selby, Michele M Pelter, Barbara McLean, Sandra L Kane-Gill
OBJECTIVE: Alarm fatigue is a widely recognized safety and quality problem where exposure to high rates of clinical alarms results in desensitization leading to dismissal of or slowed response to alarms. Nonactionable alarms are thought to be especially problematic. Despite these concerns, the number of clinical alarm signals has been increasing as an everincreasing number of medical technologies are added to the clinical care environment. DATA SOURCES: PubMed, SCOPUS, Embase, and CINAHL...
January 2018: Critical Care Medicine
keyword
keyword
46293
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"