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AIME 2009 Presentation

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Artificial Intelligence in Medicine Conference 2009 - Verona - Presentation

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AIME 2009 Presentation

  1. 1. Implementing a Clinical Decision Support System for Glucose Control for the Intensive Cardiac Care Rogier Barendse Cardiology dept, Erasmus MC, Rotterdam, The Netherlands r.barendse@erasmusmc.nl
  2. 2. Background • High glucose levels in cardiac patients are associated with adverse outcome • Glucose regulation in patients admitted to the Intensive Cardiac Care Unit (ICCU) is difficult to achieve • Implementation of a Clinical Decision Support System (CDSS) can improve compliance with protocols
  3. 3. Methods
  4. 4. Methods
  5. 5. Results  Results  Compliance with protocol regarding timing of glucose measurements:  Increased from 41% to 55% on time, an increase of 13.2% (95%CI 11.4% to 15.1% P<0.001)  Compliance with protocol regarding insulin dosage:  Increased from 48% to 58%, an increase of 9.8% (95% CI 7.9% to 11.6% P<0.001)  Future work  Expand our work with an updated protocol for glucose management taking into account the investigation on protocol deviations  Implement a 3rd party rule engine (Gaston) to enable physicians to modify protocols  Integrate with other systems such as the electronic patient record and PDMS

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