Publications Archives

October 24th, 2023

Can an End-to-End Telesepsis Solution Improve the Severe Sepsis and Septic Shock Management Bundle-1 Metrics for Sepsis Patients Admitted From the Emergency Department to the Hospital?

IMPORTANCE: Early detection and treatment for sepsis patients are key components to improving sepsis care delivery and increased The Severe Sepsis and Septic Shock Management Bundle (SEP-1) compliance may correlate with improved outcomes. OBJECTIVES: We assessed the impact of implementing a partially automated end-to-end sepsis solution including electronic medical record-linked automated monitoring, early detection, around-the-clock […]

May 2nd, 2018

Prompting with electronic checklist improves clinician performance in medical emergencies: a high-fidelity simulation study

ABSTRACT - Background: Inefficient processes of care delivery during acute resuscitation can compromise the “Golden Hour,” the time when quick interventions can rapidly determine the course of the patient’s outcome. Checklists have been shown to be an effective tool for standardizing care models. We developed a novel electronic tool, the Checklist for Early Recognition and […]

September 18th, 2017

Can a Novel ICU Data Display Positively Affect Patient Outcomes and Save Lives?

The purpose of this study was to evaluate the impact of AWARE implementation on critical care processes and patient outcomes in intensive care units at Mayo Clinic Rochester, Minnesota. Ambient’s Clinical Data Analytics software is an EMR interface that includes tools to organize patient data, reduce errors, and provide effectiveness metrics. These tools reduce clinician […]

December 22nd, 2016

Effect of daily use of electronic checklist on physical rehabilitation consultations in critically ill patients.

ABSTRACT - RATIONALE: In intensive care unit (ICU) practice, great emphasis is placed on the functional stabilization of the major organ systems, sometimes at the expense of physical rehabilitation. Checklists have shown to be an effective tool for standardizing care models. Our aim was to the study the effect of the use of an electronic […]

May 4th, 2016

Automatic quality improvement reports in the intensive care unit: One step closer toward meaningful use.

Abstract AIM: To examine the feasibility and validity of electronic generation of quality metrics in the intensive care unit (ICU). METHODS: This minimal risk observational study was performed at an academic tertiary hospital. The Critical Care Independent Multidisciplinary Program at Mayo Clinic identified and defined 11 key quality metrics....

March 31st, 2016

The Effect of an Electronic Checklist on Critical Care Provider Workload, Errors, and Performance.

ABSTRACT - PURPOSE: The strategy used to improve effective checklist use in intensive care unit (ICU) setting is essential for checklist success. This study aimed to test the hypothesis that an electronic checklist could reduce ICU provider workload, errors, and time to checklist completion, as compared to a paper checklist. METHODS: This was a simulation-based […]

Remote Patient Monitoring Solution for Sepsis detection

February 20th, 2016

Development and Implementation of Sepsis Alert Systems.

ABSTRACT - Development and implementation of sepsis alert systems is challenging, particularly outside the monitored intensive care unit (ICU) setting. Barriers to wider use of sepsis alerts include evolving clinical definitions of sepsis, information overload, and alert fatigue, due to suboptimal alert performance. Outside the ICU, barriers include differences in health care delivery models, charting […]

sepsis detection solutions and software that is not FDA Class II

January 29th, 2016

User perception and experience of the introduction of a novel critical care patient viewer in the ICU setting.

ABSTRACT - OBJECTIVE: Failure to rapidly identify high-value information due to inappropriate output may alter user acceptance and satisfaction. The information needs for different intensive care unit (ICU) providers are not the same. This can obstruct successful implementation of electronic medical record (EMR) systems....

January 31st, 2015

The implementation of clinician designed, human-centered electronic medical record viewer in the intensive care unit: a pilot step-wedge cluster randomized trial.

ABSTRACT - OBJECTIVES: AWARE (Ambient Warning and Response Evaluation) is a novel electronic medical record (EMR) dashboard designed by clinicians to support bedside clinical information management in the ICU. AWARE sits on top of pre-existing, comprehensive EMR systems. The purpose of the study was to test the acceptance and impact of AWARE on data management […]

January 6th, 2015

Developing the surveillance algorithm for detection of failure to recognize and treat severe sepsis.

ABSTRACT - OBJECTIVE: To develop and test an automated surveillance algorithm (sepsis "sniffer") for the detection of severe sepsis and monitoring failure to recognize and treat severe sepsis in a timely manner. PATIENTS AND METHODS: We conducted an observational diagnostic performance study using independent derivation and validation cohorts from an electronic medical record database of […]

Point-of-Care FDA Class II Cleared Solutions

October 24th, 2014

Clinical data needs in the neonatal intensive care unit electronic medical record.

ABSTRACT - BACKGROUND: The amount of clinical information that providers encounter daily creates an environment for information overload and medical error. To create a more efficient EMR human-computer interface, we aimed to understand clinical information needs among NICU providers. METHODS: A web-based survey to evaluate 98 data items was created and distributed to NICU providers....

September 18th, 2014

Customized reference ranges for laboratory values decrease false positive alerts in intensive care unit patients.

ABSTRACT - BACKGROUND: Traditional electronic medical record (EMR) interfaces mark laboratory tests as abnormal based on standard reference ranges derived from healthy, middle-aged adults. This yields many false positive alerts with subsequent alert-fatigue when applied to complex populations like hospitalized, critically ill patients. Novel EMR interfaces using adjusted reference ranges customized for specific patient populations […]

July 16th, 2014

Information needs for the OR and PACU electronic medical record.

ABSTRACT - OBJECTIVE: The amount of clinical information that anesthesia providers encounter creates an environment for information overload and medical error. In an effort to create more efficient OR and PACU EMR viewer platforms, we aimed to better understand the intraoperative and post-anesthesia clinical information needs among anesthesia providers. MATERIALS AND METHODS: A web-based survey […]

Remote Patient Monitoring and the Virtual ICU

June 1st, 2013

Data utilization for medical decision making at the time of patient admission to ICU.

ABSTRACT - OBJECTIVES: Information overload in electronic medical records can impede providers' ability to identify important clinical data and may contribute to medical error. An understanding of the information requirements of ICU providers will facilitate the development of information systems that prioritize the presentation of high-value data and reduce information overload. Our objective was to […]

July 1st, 2011

The effect of two different electronic health record user interfaces on intensive care provider task load, errors of cognition, and performance.

ABSTRACT- The care of critically ill patients generates large quantities of data. Increasingly, these data are presented to the provider within an electronic medical record. The manner in which data are organized and presented can impact on the ability of users to synthesis that data into meaningful information....

April 20th, 2011

Enrollment into a time sensitive clinical study in the critical care setting: results from computerized septic shock sniffer implementation.

ABSTRACT - OBJECTIVE: Recruitment of patients into time sensitive clinical trials in intensive care units (ICU) poses a significant challenge. Enrollment is limited by delayed recognition and late notification of research personnel. The objective of the present study was to evaluate the effectiveness of the implementation of electronic screening (septic shock sniffer) regarding enrollment into […]

April 28th, 2010

Novel Representation of Clinical Information in the ICU: Developing User Interfaces which Reduce Information Overload.

ABSTRACT- The introduction of electronic medical records (EMR) and computerized physician order entry (CPOE) into the intensive care unit (ICU) is transforming the way health care providers currently work. The challenge facing developers of EMR's is to create products which add value to systems of health care delivery. As EMR's become more prevalent, the potential […]

November 1st, 2009

Identification of patient information corruption in the intensive care unit: using a scoring tool to direct quality improvements in handover.

ABSTRACT - OBJECTIVE: To use a handover assessment tool for identifying patient information corruption and objectively evaluating interventions designed to reduce handover errors and improve medical decision making. The continuous monitoring, intervention, and evaluation of the patient in modern intensive care unit practice generates large quantities of information, the platform on which medical decisions are […]

Publications

Can an End-to-End Telesepsis Solution Improve the Severe Sepsis and Septic Shock Management Bundle-1 Metrics for Sepsis Patients Admitted From the Emergency Department to the Hospital?

Prompting with electronic checklist improves clinician performance in medical emergencies: a high-fidelity simulation study

Can a Novel ICU Data Display Positively Affect Patient Outcomes and Save Lives?

Effect of daily use of electronic checklist on physical rehabilitation consultations in critically ill patients.

Automatic quality improvement reports in the intensive care unit: One step closer toward meaningful use.

The Effect of an Electronic Checklist on Critical Care Provider Workload, Errors, and Performance.

Development and Implementation of Sepsis Alert Systems.

User perception and experience of the introduction of a novel critical care patient viewer in the ICU setting.

The implementation of clinician designed, human-centered electronic medical record viewer in the intensive care unit: a pilot step-wedge cluster randomized trial.

Developing the surveillance algorithm for detection of failure to recognize and treat severe sepsis.

Clinical data needs in the neonatal intensive care unit electronic medical record.

Customized reference ranges for laboratory values decrease false positive alerts in intensive care unit patients.

Information needs for the OR and PACU electronic medical record.

Data utilization for medical decision making at the time of patient admission to ICU.

The effect of two different electronic health record user interfaces on intensive care provider task load, errors of cognition, and performance.

Enrollment into a time sensitive clinical study in the critical care setting: results from computerized septic shock sniffer implementation.

Novel Representation of Clinical Information in the ICU: Developing User Interfaces which Reduce Information Overload.

Identification of patient information corruption in the intensive care unit: using a scoring tool to direct quality improvements in handover.

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