Hundt A.S.,University of Wisconsin - Madison |
Adams J.A.,United Information Technology |
Schmid J.A.,Clinical Innovations |
Musser L.M.,United Information Technology |
And 5 more authors.
International Journal of Medical Informatics
Purpose: To develop, conduct, and evaluate a proactive risk assessment (PRA) of the design and implementation of CPOE in an ICU. Methods: We developed a PRA method based on issues identified from documented experience with conventional PRA methods and the constraints of an organization about to implement CPOE in an intensive care unit. The PRA method consists of three phases: planning (three months), team (one five-hour meeting), and evaluation (short- and long-term). Results: Sixteen unique relevant vulnerabilities were identified as a result of the PRA team's efforts. Negative consequences resulting from the vulnerabilities included potential patient safety and quality of care issues, non-compliance with regulatory requirements, increases in cognitive burden on CPOE users, and/or worker inconvenience or distress. Actions taken to address the vulnerabilities included redesign of the technology, process (workflow) redesign, user training, and/or ongoing monitoring. Verbal and written evaluation by the team members indicated that the PRA method was useful and that participants were willing to participate in future PRAs. Long-term evaluation was accomplished by monitoring an ongoing "issues list" of CPOE problems identified by or reported to IT staff. Vulnerabilities identified by the team were either resolved prior to CPOE implementation (n= 7) or shortly thereafter (n= 9). No other issues were identified beside those identified by the team. Conclusions: Generally positive results from the various evaluations including a long-term evaluation demonstrate the value of developing an efficient PRA method that meets organizational and contextual requirements and constraints. © 2012 Elsevier Ireland Ltd. Source
Pitts N.,Clinical Innovations
Advances in dental research
The IADR Global Oral Health Inequalities Task Group on Dental Caries has synthesized current evidence and opinion to identify a five-year implementation and research agenda which should lead to improvements in global oral health, with particular reference to the implementation of current best evidence as well as integrated action to reduce caries and health inequalities between and within countries. The Group determined that research should: integrate health and oral health wherever possible, using common risk factors; be able to respond to and influence international developments in health, healthcare, and health payment systems as well as dental prevention and materials; and exploit the potential for novel funding partnerships with industry and foundations. More effective communication between and among the basic science, clinical science, and health promotion/public health research communities is needed. Translation of research into policy and practice should be a priority for all. Both community and individual interventions need tailoring to achieve a more equal and person-centered preventive focus and reduce any social gradient in health. Recommendations are made for both clinical and public health implementation of existing research and for caries-related research agendas in clinical science, health promotion/public health, and basic science. Source
Clinical Innovations | Date: 2013-03-14
A cable comprises a circuit, a switching element and an input connection for engaging an output connection of a sensor, the switching element configured to selectively enable the circuit of the cable assembly to process an accepted output of at least one of at least two sensors providing differing acceptable outputs and to provide a signal output corresponding to the accepted sensor output for processing by a monitor. A sensor includes an initiation element structured to cause a switching element associated with an input connection of the cable to change a mode of operation of the switching element to selectively enable the circuit to process an output of the sensor accepted by the cable and to provide a signal output corresponding to the accepted sensor output. A system comprises a monitor and the cable including the circuit and the switching element. Methods of operation are also disclosed.
Clinical Innovations | Date: 2013-03-15
A surgical instrument comprises a handle having a blade proximate a distal end of the handle. A blade edge inset from a mouth of the recess is exposed within the recess and faces at least partially toward a proximal end of the handle with the blade edge inset from a mouth of the recess. The distal end further comprises a point bounding a portion of the recess and facing at least partially toward the proximal end of the handle. Methods of use are also disclosed.
Clinical Innovations | Date: 2015-05-20
Medical products for labor and delivery, namely, medical diagnostic reagents and assays for testing of body fluids for amniotic proteins to aid in diagnosing rupture of membranes during labor and delivery of a baby; Medical diagnostic test strips for use in the field of obstetrics for rupture of membranes only for use during labor or the during the delivery of a baby. Medical products for labor and delivery, namely, intrauterine catheter devices for monitoring uterine contractions; medical apparatus for monitoring uterine contractions; tamponade balloon devices for use during labor or the delivery of a baby; vacuum delivery system, comprised of a hand help pump, used to assist with obstetrical deliveries.