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18
May, 2013
Saturday

Mortality

Studying infant mortality rate: a data mining approach

Chattopadhyay S et al, Health and Technology, 1(1)

The World Health Organization (WHO) uses a large number of health predicators to measure a country’s overall health status. Among many, Infant Mortality Rate (IMR) is considered to be one important. Current literature describes the importance of these predictors in a much segregated manner. Also, its interrelationships are underexplored. This paper describes a framework for mining the hidden relationships of some predictors, such as (i) Population Annual Growth Rate (PAG), (ii) Total Fertility Rate (TFR), (iii) General Government Expenditure (GGE), (iv) Social Security Expenditure (SSE), (v) Total Expenditure on Health (THE), (vi) Access of Drinking Water (ADW), and (vii) Access to Basic Sanitation (ABS) with IMR with the help of Quantitative Association Rule (QAR) mining technique.
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Published: 6 July 2011 |
Keyword(s): Data Mining, Infants, Mortality

Impact of Telemedicine Intensive Care Unit Coverage on Patient Outcomes: A Systematic Review and Meta-analysis

Young LB et al, Arch Intern Med, 171(6)

Background
Although remote intensive care unit (ICU) coverage is rapidly being adopted to enhance access to intensivists, its effect on patient outcomes is unclear. We conducted a meta-analysis to examine the impact of telemedicine ICU (tele-ICU) coverage on mortality and length of stay (LOS).

Methods
We conducted a systematic review of studies published from January 1, 1950, through September 30, 2010, using PubMed, CINAHL (Cumulative Index to Nursing and Allied Health Literature), Global Health, Web of Science, the Cochrane Library, and conference abstracts. We included studies that reported data on the primary outcomes of ICU and in-hospital mortality or on the secondary outcomes of ICU and hospital LOS.
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Published: 28 March 2011 |
Keyword(s): Mortality, Patient Outcomes, Systematic Review, Tele-ICU, Telemedicine

Decrease in Hospital-wide Mortality Rate After Implementation of a Commercially Sold Computerized Physician Order Entry System

Longhurst CA et al, Pediatrics, 2010

Background
Implementations of computerized physician order entry (CPOE) systems have previously been associated with either an increase or no change in hospital-wide mortality rates of inpatients. Despite widespread enthusiasm for CPOE as a tool to help transform quality and patient safety, no published studies to date have associated CPOE implementation with significant reductions in hospital-wide mortality rates.
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Published: 3 May 2010 |
Keyword(s): CPOE, Electronic Health Records, Mortality, Safety, United States

Association of Health Information Technology and Teleintensivist Coverage With Decreased Mortality and Ventilator Use in Critically Ill Patients

McCambridge M, et al. Arch Intern Med, 170(7)

Background
Little evidence exists to support implementing various health information technologies, such as telemedicine, in intensive care units.

Methods
A coordinated health information technology bundle (HITB) was implemented along with remote intensivist coverage (RIC) at a 727-bed academic community hospital. Critical care specialists provided bedside coverage during the day and RIC at night to achieve intensivist coverage 24 hours per day, 7 days per week. We evaluated the effect of HITB-RIC on mortality, ventilator and vasopressor use, and the intervention length of stay. We compared our results with those achieved at baseline.
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Published: 12 April 2010 |
Keyword(s): Health Information Technology, Intensive Care Units, Mortality, Telemedicine, United States

Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system

Han, Yong Y., et al, Pediatrics, 116(6)

Objective.
In response to the landmark 1999 report by the Institute of Medicine and safety initiatives promoted by the Leapfrog Group, our institution implemented a commercially sold computerized physician order entry (CPOE) system in an effort to reduce medical errors and mortality. We sought to test the hypothesis that CPOE implementation results in reduced mortality among children who are transported for specialized care.
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Published: 1 December 2005 |
Keyword(s): CPOE, Mortality, Pedriatics, Software

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