A5020730241- Electronic Health Records Systems
- Pharmaceutical Practices and Patient Outcomes
- Healthcare Technology and Patient Monitoring
- Healthcare Systems and Technology
- Patient Safety and Medication Errors
- Artificial Intelligence in Healthcare
- Information Systems Theories and Implementation
- Big Data and Business Intelligence
- Ethics in Clinical Research
- Sepsis Diagnosis and Treatment
- Medical Coding and Health Information
- Quality and Safety in Healthcare
- Artificial Intelligence in Healthcare and Education
- Radiology practices and education
- Healthcare Systems and Public Health
- Semantic Web and Ontologies
- Healthcare Operations and Scheduling Optimization
- Medication Adherence and Compliance
- Healthcare Systems and Reforms
- Hemodynamic Monitoring and Therapy
- Information Technology Governance and Strategy
- Information Technology and Learning
- Interdisciplinary Research and Collaboration
- Frailty in Older Adults
- Technology Use by Older Adults
Erasmus University Rotterdam
2009-2022
University at Buffalo, State University of New York
2015-2016
Centre d'Investigation Clinique - Innovation Technologique
2010
Abstract Purpose To evaluate numbers and types of drug safety alerts generated overridden in a large Dutch university medical centre. Methods A disguised observation study lasting 25 days on two internal medicine wards evaluating alert generation handling alerts. retrospective analysis was also performed all the hospital using pharmacy log files over 24 months. Results In 34% orders which 91% were overridden. The majority (56%) concerned drug–drug interactions (DDIs) these more often (98%)...
Clinical decision support (CDS) for electronic prescribing systems (computerized physician order entry) should help prescribers in the safe and rational use of medicines. However, best ways to alert users unsafe or irrational are uncertain. Specifically, CDS may generate too many alerts, producing unwelcome distractions prescribers, few alerts running risk overlooking possible harms. Obtaining right balance alerting adequately improve patient safety be a priority.A workshop funded through...
Clinicians view the accuracy of test results and turnaround time as two most important service aspects clinical microbiology laboratory. Because needed for culturing infectious agents, final hardcopy culture will often be available too late to have a significant impact on early antimicrobial therapy decisions, vital in disease management. The microbiologist therefore reports clinician clinically relevant preliminary at any moment during diagnostic process, mostly by telephone. Telephone...
Aims Educating physicians in the procedural as well cognitive skills of information technology (IT)‐mediated medication management could be one missing links for improvement patient safety. We aimed to compose a framework tasks that need addressed optimize outpatient care. Methods Formal task analysis: decomposition complex into set subtasks. First, we obtained general description process from exploratory interviews. Secondly, interviewed experts in‐depth further define and Setting:...
Electronic prescribing systems may improve medication safety, but only when used appropriately. The effects of task analysis-based training on clinical, learning and behavioural outcomes were evaluated in the outpatient setting, compared with usual educational approach.This was a multicentre, cluster randomized trial [EDUCATional intervention for IT-mediated MEDication management (MEDUCATE trial)], physicians as unit analysis. It took place clinics two academic hospitals. Participants...
Abstract Background Mechanical ventilation services are an important driver of the high costs intensive care. An optimal interaction between a patient and ventilator is therefore paramount. Suboptimal present when patients repeatedly demand, but do not receive, breathing support from mechanical (> 30 times in 3 min), also known as ineffective effort event (IEEV). IEEVs associated with increased hospital mortality prolonged care stay, time on thus development real-time analytics that...
Received: 22 September 2022 Accepted after revision: 02 December Manuscript online:19
Much has been invested in big data and artificial intelligence-based solutions for healthcare. However, few applications have implemented clinical practice. Early economic evaluations can help to improve decision-making by developers of analytics underlying these aiming increase the likelihood successful implementation, but recommendations about their use are lacking. The aim this study was develop apply a framework that positions best practice methods alongside development analytics,...
Using information technology for medication management is an opportunity to help physicians improve the quality of their documentation and communication ultimately patient care safety. Physician education necessary take full advantage systems. In this trial, we seek determine effectiveness intensive educational intervention compared with standard approach in improving technology–mediated reducing potential adverse drug events outpatient clinic. We are conducting a multicenter, cluster...