Implementation and evaluation of an integrated computerized asthma management system in a pediatric emergency department: A randomized clinical trial

International Journal of Medical Informatics

Volumn 83, Issue 11, 2014, Pages 805-813

  Dexheimer, Judith W ^a   Abramo, Thomas J ^b   Arnold, Donald H ^c   Johnson, Kevin ^c   Shyr, Yu ^c   Ye, Fei ^c   Fan, Kang Hsien ^c   Patel, Neal ^c   Aronsky, Dominik ^c  

^a CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER   (United States)

^b UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES   (United States)

^c VANDERBILT UNIVERSITY   (United States)

Author keywords

Asthma; Clinical decision support; Emergency medicine; Medical informatics; Pediatrics

Indexed keywords

BAYESIAN NETWORKS; DECISION MAKING; DECISION SUPPORT SYSTEMS; DIAGNOSIS; DISEASES; EMERGENCY ROOMS; INFORMATION SCIENCE; MEDICAL COMPUTING; PATIENT TREATMENT; PEDIATRICS;

ASTHMA; CLINICAL DECISION SUPPORT; COMPUTERIZED MANAGEMENT; EMERGENCY MEDICINE; MEDICAL INFORMATICS; POSITIVE PREDICTIVE VALUES; RANDOMIZED CLINICAL TRIALS; RANDOMIZED CONTROLLED TRIAL;

INFORMATION MANAGEMENT;

ADOLESCENT; ADULT; ARTICLE; ASTHMA; BAYES THEOREM; CHILD; CLINICAL DECISION MAKING; COMPUTER; COMPUTERIZED PROVIDER ORDER ENTRY; CONTROLLED STUDY; DECISION SUPPORT SYSTEM; DISEASE EXACERBATION; ELECTRONIC MEDICAL RECORD; EMERGENCY HEALTH SERVICE; EMERGENCY WARD; FEMALE; HOSPITAL ADMISSION; HOSPITAL INFORMATION SYSTEM; HUMAN; INTEGRATED HEALTH CARE SYSTEM; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; OUTCOME ASSESSMENT; PHYSICIAN; PREDICTIVE VALUE; PROSPECTIVE STUDY; RANDOMIZED CONTROLLED TRIAL; SCORING SYSTEM; SCREENING; STANDARD; TERTIARY HEALTH CARE; URBAN AREA; WORKFLOW; ORGANIZATION AND MANAGEMENT; PEDIATRICS; PRACTICE GUIDELINE; PRESCHOOL CHILD; STANDARDS; SYSTEM ANALYSIS; UNITED STATES;

ADOLESCENT; ASTHMA; CHILD; CHILD, PRESCHOOL; DECISION SUPPORT SYSTEMS, CLINICAL; EMERGENCY SERVICE, HOSPITAL; FEMALE; HUMANS; MALE; PEDIATRICS; PRACTICE GUIDELINES AS TOPIC; SYSTEMS INTEGRATION; TRIAGE; UNITED STATES; WORKFLOW;

EID: 84908068918     PISSN: 13865056     EISSN: 18728243     Source Type: Journal    
DOI: 10.1016/j.ijmedinf.2014.07.008     Document Type: Article

References (20)

1. Akinbami L.J., Moorman J.E., Liu X. Asthma prevalence, health care use, and mortality: United States, 2005-2009. Natl. Health Stat. Rep. 2011, 32(January):1-14.
2. Qureshi F., Pestian J., Davis P., Zaritsky A. Effect of nebulized ipratropium on the hospitalization rates of children with asthma. N. Engl. J. Med. 1998, 339(October (15)):1030-1035.
3. National Heart Lung and Blood Institute (NHLBI) National asthma education and prevention program, expert panel report 3 (epr-3): guidelines for the diagnosis and management of asthma-summary report 2007. J. Allergy Clin. Immunol. 2007, 120(Suppl. 5):S94-S138.
4. Grimshaw J.M., Eccles M.P., Walker A.E., Thomas R.E. Changing physicians' behavior: what works and thoughts on getting more things to work. J. Contin. Educ. Health Prof. 2002, 22(Fall (4)):237-243.
5. Scribano P.V., Lerer T., Kennedy D., Cloutier M.M. Provider adherence to a clinical practice guideline for acute asthma in a pediatric emergency department. Acad. Emerg. Med. 2001, 8(December (12)):1147-1152.
6. Dexheimer J.W., Talbot T.R., Sanders D.L., Rosenbloom S.T., Aronsky D. Prompting clinicians about preventive care measures: a systematic review of randomized controlled trials. J. Am. Med. Inform. Assoc. 2008, 15(May-June (3)):311-320.
7. Hoeksema L.J., Bazzy-Asaad A., Lomotan E.A., Edmonds D.E., Ramirez-Garnica G., Shiffman R.N., et al. Accuracy of a computerized clinical decision-support system for asthma assessment and management. J. Am. Med. Inform. Assoc. 2011, 18(May (3)):243-250.
8. Lomotan E.A., Hoeksema L.J., Edmonds D.E., Ramirez-Garnica G., Shiffman R.N., Horwitz L.I. Evaluating the use of a computerized clinical decision support system for asthma by pediatric pulmonologists. Int. J. Med. Inf. 2012, 81(March (3)):157-165.
9. Sanders D.L., Aronsky D. Detecting asthma exacerbations in a pediatric emergency department using a Bayesian network. AMIA Annu. Symp. Proc. 2006, 68:4-8.
10. Giuse D.A. Supporting communication in an integrated patient record system. AMIA Annu. Symp. Proc. 2003, 1065.
11. Levin S., France D., Mayberry R.S., Stonemetz S., Jones I., Aronsky D. The effects of computerized triage on nurse work behavior. AMIA Annu. Symp. Proc. 2006, 1005.
12. Miller R.A., Waitman L.R., Chen S., Rosenbloom S.T. The anatomy of decision support during inpatient care provider order entry (CPOE): empirical observations from a decade of CPOE experience at Vanderbilt. J. Biomed. Inform. 2005, 38(Dec (6)):469-485.
13. Aronsky D., Jones I., Lanaghan K., Slovis C.M. Supporting patient care in the emergency department with a computerized whiteboard system. J. Am. Med. Inform. Assoc. 2008, 15(March-April (2)):184-194.
14. Dexheimer J.W., Arnold D.H., Abramo T.J., Aronsky D. Development of an asthma management system in a pediatric emergency department. AMIA Annu. Symp. Proc. 2009 2009, 142-146.
15. Sanders D.L., Aronsky D. Prospective evaluation of a Bayesian Network for detecting asthma exacerbations in a Pediatric Emergency Department. AMIA Annu. Symp. Proc. 2006, 1085.
16. Sanders D.L., Gregg W., Aronsky D. Identifying asthma exacerbations in a pediatric emergency department: a feasibility study. Int. J. Med. Inf. 2007, 76(July (7)):557-564.
17. Dexheimer J.W., Abramo T.J., Arnold D.H., Johnson K.B., Shyr Y., Ye F., et al. An asthma management system in a pediatric emergency department. Int. J. Med. Inform. 2013, 82(April (4)):230-238.
18. Sin D.D., Man S.F. Low-dose inhaled corticosteroid therapy and risk of emergency department visits for asthma. Arch. Intern. Med. 2002, 162(July (14)):1591-1595.
19. Mayo E. The Human Problems of an Industrial Civilization 2003, Routledge, London; New York.
20. Roethlisberger F.J., Dickson W.J., Wright H.A., Pforzheimer C.H. Management and the Worker: An Account of a Research Program conducted by the Western Electric Company, Hawthorne Works, Chicago 1939, Western Electric Company, Harvard University Press, Cambridge, MA.