dc.creator | Dexheimer, Judith Wehling | |
dc.date.accessioned | 2020-08-22T00:10:37Z | |
dc.date.available | 2013-04-15 | |
dc.date.issued | 2011-04-15 | |
dc.identifier.uri | https://etd.library.vanderbilt.edu/etd-03282011-141300 | |
dc.identifier.uri | http://hdl.handle.net/1803/11606 | |
dc.description.abstract | Pediatric asthma exacerbations account for >1.8 million ED visits annually. Guidelines can decrease variability in asthma treatment and improve clinical outcomes; however, guideline adherence is inadequate. We evaluated a computerized asthma detection system based upon the NHLBI guidelines and evidence-based practice to improve care in a pediatric ED in a two phase study. Phase I looked at using an automatic disease detection system to identify eligible patients and then printing the paper-based guideline. Phase II implemented a fully computerized asthma management system. Although the time to disposition decision was not statistically significant, we believe this management system to be a sustainable computerized management system to help standardize asthma care. The computerized asthma management system represents a work-flow oriented, sustainable approach in a challenging environment. | |
dc.format.mimetype | application/pdf | |
dc.subject | emergency department | |
dc.subject | pediatrics | |
dc.subject | computerized decision support systems | |
dc.subject | medical informatics | |
dc.subject | asthma | |
dc.subject | bayesian network | |
dc.title | Design and implementation of a computerized asthma management system in the pediatric emergency department | |
dc.type | dissertation | |
dc.contributor.committeeMember | Donald H Arnold | |
dc.contributor.committeeMember | Kevin B Johnson | |
dc.contributor.committeeMember | Neal Patel | |
dc.contributor.committeeMember | Yu Shyr | |
dc.type.material | text | |
thesis.degree.name | PHD | |
thesis.degree.level | dissertation | |
thesis.degree.discipline | Biomedical Informatics | |
thesis.degree.grantor | Vanderbilt University | |
local.embargo.terms | 2013-04-15 | |
local.embargo.lift | 2013-04-15 | |
dc.contributor.committeeChair | Dominik Aronsky | |