Huntsville Hospital’s Sepsis Fight

Stephen Claypool
Written by Stephen Claypool
on May 08, 2015

In my previous post, I discussed how a pilot study using our company’s clinical decision support (CDS) technology, POC Advisor™, was able to reduce a hospital’s sepsis-related mortality by 53 percent. One deciding factor in selecting the study location—Huntsville Hospital—was the 941-bed facility’s dedication to improving its performance. Over a six-month period, 9.5 percent of Huntsville’s patients with sepsis infection-related diagnoses died, compared to the national average of 8.5 percent. When the “Surviving Sepsis” campaign definition was applied, mortality rates increased to 38.5 percent for Huntsville and 19.4 for the national average during the same period. Read further >

Get your Game to Court – Virtual is the new Reality!

Kirsten van Engelenburg
Written by Kirsten van Engelenburg
on May 04, 2015

Lately I have been reading about developments in the gaming industry, especially on virtual reality (VR). There are tremendous changes coming up with the introduction of Oculus Rift, Gear VR, etc. Currently these devices are mostly directed to social networking and playing games or a combination of the two. But there is a major shift going on from “social” to “professional”. Read further >

Accelerating Adoption of Medical Evidence into Clinical Practice

Linda Peitzman
Written by Linda Peitzman
on April 13, 2015

Patients expect doctors to hold themselves to the highest standards, including an expectation that the care they provide is based upon the latest medical evidence and best practices. But while doctors work diligently to stay current with all of the changes in medicine, it is a nearly impossible task. The volume of clinical information is estimated to double every 3-5 years—while a physician’s capacity to recall and organize relevant medical information remains static. Read further >

Making Current Awareness for Professionals Actionable

John Barker
Written by John Barker
on April 03, 2015

I like Wolters Kluwer Health’s UpToDate‘s model of current awareness. Subject-matter experts in healthcare monitor articles in medical journals and results of clinical trials and incorporate into the evidence-based clinical decision support guidelines within UpToDate so that medical professionals’ decisions are truly up to date. Instead of merely presenting the most recent journal articles for reading – and there are hundreds of thousands every year – UpToDate presents a “comprehensive synthesis of the evidence.” In summary, UpToDate makes health and medical current awareness actionable. In my opinion, UpToDate is an inspirational model for current awareness for lawyers, accountants and compliance professionals. So how might UpToDate’s model of presenting practice-changing updates manifest in the tax, legal & regulatory space? Here are some examples: Read further >

Patient-Centric Decision Support to Battle Sepsis

Stephen Claypool
Written by Stephen Claypool
on March 23, 2015

Every doctor worries about missing a diagnosis that leads to a patient’s death. Even more upsetting is the knowledge that the data needed to save that life was in the patient’s record, but just out of the doctor’s reach. Such is usually the case with sepsis—the body’s often-fatal immune response to infection that can escalate rapidly and lead to organ failure and septic shock. Read further >

Genetic Test Results – LOINC to the rescue?

Howard Strasberg MD MS
Written by Howard Strasberg MD MS
on March 20, 2015

Personalized medicine holds the promise of tailoring treatments to individual patient traits. In addition to traditional characteristics such as age, gender, kidney function and liver function, it’s now becoming possible to tailor drug therapy to a patient’s genome. For additional background, please see my 2012 and 2014 posts on this subject. Read further >

Improving Antibiotic Prescribing in Primary Care

Howard Strasberg MD MS
Written by Howard Strasberg MD MS
on February 16, 2015

Primary care providers frequently prescribe antibiotics for conditions such as acute otitis media (AOM), acute bronchitis and possible or suspected pnemonia. In many cases, the use of antibiotics is not supported by the evidence, thereby exacerbating the problem of antibiotic resistance and putting patients at risk of adverse drug events. Read further >

Lawyers Can Learn from Knowledge Management in Healthcare

John Barker
Written by John Barker
on February 06, 2015

I observe similar trends in knowledge management tools for healthcare and legal professionals. Both doctors and lawyers must increase productivity in the face of ever more challenging patient/client demands. They don’t have time for a lot of reading and research. So knowledge management for both must focus on providing practical synoptic content. In my opinion, several healthcare knowledge management (KM) tools that provide evidence-based clinical decision support to providers can serve as inspiration for legal KM. Read further >

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