지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 416 - 422 (7page)
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초록· 키워드
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Purpose: For patients with time-critical acute coronary syndrome, reporting electrocardiogram (ECG) findings is the most important component of the treatment process. We aimed to develop and validate an automated Fast Healthcare Interoperability Resources (FHIR)-based 12-lead ECG mobile alert system for use in an emergency department (ED). Materials and Methods: An automated FHIR-based 12-lead ECG alert system was developed in the ED of an academic tertiary care hospital. The system was aimed at generating an alert for patients with suspected acute coronary syndrome based on interpretation by the legacy device. The alert is transmitted to physicians both via a mobile application and the patient’s electronic medical record (EMR). The automated FHIR-based 12-lead ECG alert system processing interval was defined as the time from ED arrival and 12-lead ECG capture to the time when the FHIR-based notification was transmitted. Results: During the study period, 3812 emergency visits and 1581 12-lead ECGs were recorded. The FHIR system generated 155 alerts for 116 patients. The alerted patients were significantly older [mean (standard deviation): 68.1 (12.4) years vs. 59.6 (16.8) years, p<0.001], and the cardiac-related symptom rate was higher (34.5% vs. 19%, p<0.001). Among the 155 alerts, 146 (94%) were transmitted successfully within 5 minutes. The median interval from 12-lead ECG capture to FHIR notification was 2.7 min [interquartile range (IQR) 2.2–3.1 min] for the group with cardiac-related symptoms and 3.0 min (IQR 2.5–3.4 min) for the group with non-cardiac-related symptoms. Conclusion: An automated FHIR-based 12-lead ECG mobile alert system was successfully implemented in an ED.
목차
등록된 정보가 없습니다.
참고문헌 (25)
참고문헌 신청
Sutcliffe KM / 2004 / Communication failures : an insidious contributor to medical mishaps / Acad Med 79:186~194
Institute of Medicine, Board on Health Care Services, Committee on Data Standards for Patient Safety / 2004 / Patient safety: achieving a new standard for care / National Academies Press
Shapiro JS / 2006 / Approaches to patient health information exchange and their impact on emergency medicine / Ann Emerg Med 48:426~432
Zahabi M / 2015 / Usability and safety in electronic medical records interface design : a review of recent literature and guideline formulation / Hum Factors 57:805~834
Hoffman S / 2011 / Meaningful use and certification of health information technology: what about safety? / J Law Med Ethics 39(Suppl 1):77~80
Institute of Medicine, Board on Health Care Services, Committee on Data Standards for Patient Safety / 2004 / Patient safety: achieving a new standard for care / National Academies Press
Shapiro JS / 2006 / Approaches to patient health information exchange and their impact on emergency medicine / Ann Emerg Med 48:426~432
Zahabi M / 2015 / Usability and safety in electronic medical records interface design : a review of recent literature and guideline formulation / Hum Factors 57:805~834
Hoffman S / 2011 / Meaningful use and certification of health information technology: what about safety? / J Law Med Ethics 39(Suppl 1):77~80
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