Using aggregate patient data at the bedside via an on-demand consultation service
Using aggregate patient data at the bedside via an on-demand consultation service
Abstract Using evidence derived from previously collected medical records to guide patient care has been a long standing vision of clinicians and informaticians, and one with the potential to transform medical practice. As a result of advances in technical infrastructure, statistical analysis methods, and the availability of patient data at scale, an implementation of this vision is now possible. Motivated by these advances, and the information needs of clinicians in our academic medical center, we offered an on-demand consultation service to derive evidence from patient data to answer clinician questions and support their bedside decision making. We describe the design and implementation of the service as well as a summary of our experience in responding to the first 100 requests. Consultation results informed individual patient care, resulted in changes to institutional practices, and motivated further clinical research. We make the tools and methods developed to implement the service publicly available to facilitate the broad adoption of such services by health systems and academic medical centers.
Callahan Alison、Gombar Saurabh、Polony Vladimir、Morse Keith、Hastie Trevor、Harrington Robert、Cahan Eli M.、Shah Nigam H.、Jung Kenneth、Tibshirani Robert、Steinberg Ethan
Department of Medicine, School of Medicine, Stanford UniversityDepartment of Medicine, School of Medicine, Stanford University||Department of Pathology, School of Medicine, Stanford UniversityDepartment of Medicine, School of Medicine, Stanford UniversityDepartment of Medicine, School of Medicine, Stanford UniversityDepartment of Statistics, School of Humanities & SciencesDepartment of Medicine, School of Medicine, Stanford UniversityDepartment of Medicine, School of Medicine, Stanford University||Department of Medicine, School of Medicine, New York UniversityDepartment of Medicine, School of Medicine, Stanford UniversityDepartment of Medicine, School of Medicine, Stanford UniversityDepartment of Statistics, School of Humanities & SciencesDepartment of Medicine, School of Medicine, Stanford University
医学研究方法临床医学计算技术、计算机技术
Callahan Alison,Gombar Saurabh,Polony Vladimir,Morse Keith,Hastie Trevor,Harrington Robert,Cahan Eli M.,Shah Nigam H.,Jung Kenneth,Tibshirani Robert,Steinberg Ethan.Using aggregate patient data at the bedside via an on-demand consultation service[EB/OL].(2025-03-28)[2025-04-28].https://www.medrxiv.org/content/10.1101/2021.06.16.21259043.点此复制
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