Just-in-time Decision-Support for Improving and Optimising Professional Practices

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Just-in-time Decision-Support for Improving and Optimising Professional Practices. Geissbühler A. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)

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Just-in-time Decision-Support for Improving and Optimising Professional Practices

  1. 1. Just-in-time Decision- Support for Improving and Optimising Professional Practices Prof. Antoine Geissbühler, MD Geneva University Hospitals
  2. 2. 1999: to err is human
  3. 3. 2005: e-iatrogenesis Han et al., Pediatrics 2005;116:1506-1512
  4. 4. Meaningful integration in the care processes
  5. 5. Geneva University Hospitals • 2'200 beds • 3 campuses, 30 smaller sites • Primary, secondary and tertiary care • 50'000 admissions/year • 800'000 outpatient visits/year • 10'000 collaborators • 1‘500 physicians • 3'500 nurses
  6. 6. Considering today's serum creatinine level, I recommend that you adjust the dosage of intravenous gentamicin to 80mg every 24 hours (and check its blood level in three days)
  7. 7. • Knowledge validation Activating and operationalization new • Clinical decision- support tools knowledge • Patient simulators Learning from care • Information collection, data aggregation • Knowledge discovery • Population-level surveillance Supporting care production • Electronic health record • CPOE and clinical decision-support tools • Collaborative care pathways • Health information exchanges & telemedicine
  8. 8. A "learning institution" information, knowledge just in time integration, decisions, at the point interpretation of care actions data, signals
  9. 9. A "learning institution" Institutional Patient record knowledge - visualisation management: - data capture - creation - links to KB - validation - distribution information, knowledge Knowledge discovery, just in time data mining integration, decisions, at the point interpretation of care actions data, Alerts and signals Provider notifications order entry, decision Care planning support and Scheduling and documentation optimization
  10. 10. Integrating information
  11. 11. From documentation to coordination
  12. 12. Collaborative care: clinical pathways
  13. 13. Connecting with the real world
  14. 14. Driving decisions with clinical data
  15. 15. Discovering knowledge: @neurIST
  16. 16. DEBUG-IT

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