A decision support model for prescribing internal cardiac defibrillators
Purpose - Automatic internal cardiac defibrillators have various indications for placement. However, some patients may not fully benefit from this technology and the devices are expensive. Consequently, the aim of this paper is to describe a development model for clinical decision support to help pr...
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| Veröffentlicht in: | International journal of health care quality assurance 2013-01, Vol.26 (5), p.455-464 |
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| container_title | International journal of health care quality assurance |
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| creator | Bloomfield, Eric L. Kauten, James Ocampo, Mel McGhee, James C. Kusumoto, Fred |
| description | Purpose - Automatic internal cardiac defibrillators have various indications for placement. However, some patients may not fully benefit from this technology and the devices are expensive. Consequently, the aim of this paper is to describe a development model for clinical decision support to help providers offer their patients a more effective decision-making process.Design methodology approach - A decision tree was built based on previous trials described in the cardiac literature.Findings - A decision-making model for implanting these expensive but lifesaving devices is developed and a model for testing them (pre- and post-implantation) is described.Practical implications - The model could be used to develop prospective trials.Originality value - The paper demonstrates that the project's goal is better quality and cost-effective care. |
| doi_str_mv | 10.1108/IJHCQA-08-2011-0046 |
| format | Article |
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Consequently, the aim of this paper is to describe a development model for clinical decision support to help providers offer their patients a more effective decision-making process.Design methodology approach - A decision tree was built based on previous trials described in the cardiac literature.Findings - A decision-making model for implanting these expensive but lifesaving devices is developed and a model for testing them (pre- and post-implantation) is described.Practical implications - The model could be used to develop prospective trials.Originality value - The paper demonstrates that the project's goal is better quality and cost-effective care.</description><identifier>ISSN: 0952-6862</identifier><identifier>EISSN: 1758-6542</identifier><identifier>DOI: 10.1108/IJHCQA-08-2011-0046</identifier><identifier>PMID: 23905305</identifier><language>eng</language><publisher>England: Emerald Group Publishing Limited</publisher><subject>Arrhythmias, Cardiac - therapy ; Cardiac arrhythmia ; Cardiovascular disease ; Checklist ; Clinical decision making ; Coronary vessels ; Cost effectiveness ; Decision making ; Decision support systems ; Decision Trees ; Defibrillators ; Defibrillators, Implantable ; Ejection fraction ; Electronic health records ; Goals ; Health administration ; Heart ; Heart attacks ; Heart Failure - therapy ; Hospitals ; Humans ; Patients ; Prescribing ; Quality of care ; Remote searching ; Software ; Studies ; Vein & artery diseases</subject><ispartof>International journal of health care quality assurance, 2013-01, Vol.26 (5), p.455-464</ispartof><rights>Emerald Group Publishing Limited</rights><rights>Copyright Emerald Group Publishing Limited 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-b6d09335933f4164c9636b60825243cbf17c3164bb0d8e0e0138026f89eb6bdc3</citedby><cites>FETCH-LOGICAL-c442t-b6d09335933f4164c9636b60825243cbf17c3164bb0d8e0e0138026f89eb6bdc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.emerald.com/insight/content/doi/10.1108/IJHCQA-08-2011-0046/full/pdf$$EPDF$$P50$$Gemerald$$H</linktopdf><linktohtml>$$Uhttps://www.emerald.com/insight/content/doi/10.1108/IJHCQA-08-2011-0046/full/html$$EHTML$$P50$$Gemerald$$H</linktohtml><link.rule.ids>314,776,780,961,11614,12825,27901,27902,30976,30977,52661,52664</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23905305$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bloomfield, Eric L.</creatorcontrib><creatorcontrib>Kauten, James</creatorcontrib><creatorcontrib>Ocampo, Mel</creatorcontrib><creatorcontrib>McGhee, James C.</creatorcontrib><creatorcontrib>Kusumoto, Fred</creatorcontrib><title>A decision support model for prescribing internal cardiac defibrillators</title><title>International journal of health care quality assurance</title><addtitle>Int J Health Care Qual Assur</addtitle><description>Purpose - Automatic internal cardiac defibrillators have various indications for placement. However, some patients may not fully benefit from this technology and the devices are expensive. Consequently, the aim of this paper is to describe a development model for clinical decision support to help providers offer their patients a more effective decision-making process.Design methodology approach - A decision tree was built based on previous trials described in the cardiac literature.Findings - A decision-making model for implanting these expensive but lifesaving devices is developed and a model for testing them (pre- and post-implantation) is described.Practical implications - The model could be used to develop prospective trials.Originality value - The paper demonstrates that the project's goal is better quality and cost-effective care.</description><subject>Arrhythmias, Cardiac - therapy</subject><subject>Cardiac arrhythmia</subject><subject>Cardiovascular disease</subject><subject>Checklist</subject><subject>Clinical decision making</subject><subject>Coronary vessels</subject><subject>Cost effectiveness</subject><subject>Decision making</subject><subject>Decision support systems</subject><subject>Decision Trees</subject><subject>Defibrillators</subject><subject>Defibrillators, Implantable</subject><subject>Ejection fraction</subject><subject>Electronic health records</subject><subject>Goals</subject><subject>Health administration</subject><subject>Heart</subject><subject>Heart attacks</subject><subject>Heart Failure - therapy</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Patients</subject><subject>Prescribing</subject><subject>Quality of care</subject><subject>Remote searching</subject><subject>Software</subject><subject>Studies</subject><subject>Vein & artery diseases</subject><issn>0952-6862</issn><issn>1758-6542</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkl9LwzAUxYMobk4_gSAFX3yp3vxt-jiGuslABH0uTZpKRtvUpH3w25uxKSiIPoQbwu8cbu65CJ1juMYY5M3qYbl4mqcgUwIYpwBMHKApzrhMBWfkEE0h5yQVUpAJOglhAwCU8uwYTQjNgVPgU7ScJ5XRNljXJWHse-eHpHWVaZLa-aT3Jmhvle1eE9sNxndlk-jSV7bUUVdb5W3TlIPz4RQd1WUTzNm-ztDL3e3zYpmuH-9Xi_k61YyRIVWigjx2EU_NsGA6F1QoAZJwwqhWNc40je9KQSUNGMBUAhG1zI0SqtJ0hq52vr13b6MJQ9HaoE3sojNuDAXmFOdYZhn_G2UszwShGP6BxrlSRoiM6OUPdOPG7WAiRTNK4keARYruKO1dCN7URe9tW_r3AkOxja_YxVfE2za-YhtfVF3svUfVmupL85lXBMgOMK3xZVP94vptKegH_9iiAQ</recordid><startdate>20130101</startdate><enddate>20130101</enddate><creator>Bloomfield, Eric L.</creator><creator>Kauten, James</creator><creator>Ocampo, Mel</creator><creator>McGhee, James C.</creator><creator>Kusumoto, Fred</creator><general>Emerald Group Publishing Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>0U~</scope><scope>1-H</scope><scope>3V.</scope><scope>7QJ</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>8AO</scope><scope>8FI</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>ASE</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>F~G</scope><scope>HEHIP</scope><scope>K6X</scope><scope>K6~</scope><scope>L.-</scope><scope>L.0</scope><scope>M0C</scope><scope>M0T</scope><scope>M1P</scope><scope>M2S</scope><scope>PQBIZ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20130101</creationdate><title>A decision support model for prescribing internal cardiac defibrillators</title><author>Bloomfield, Eric L. ; 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However, some patients may not fully benefit from this technology and the devices are expensive. Consequently, the aim of this paper is to describe a development model for clinical decision support to help providers offer their patients a more effective decision-making process.Design methodology approach - A decision tree was built based on previous trials described in the cardiac literature.Findings - A decision-making model for implanting these expensive but lifesaving devices is developed and a model for testing them (pre- and post-implantation) is described.Practical implications - The model could be used to develop prospective trials.Originality value - The paper demonstrates that the project's goal is better quality and cost-effective care.</abstract><cop>England</cop><pub>Emerald Group Publishing Limited</pub><pmid>23905305</pmid><doi>10.1108/IJHCQA-08-2011-0046</doi><tpages>10</tpages></addata></record> |
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| ispartof | International journal of health care quality assurance, 2013-01, Vol.26 (5), p.455-464 |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Emerald A-Z Current Journals |
| subjects | Arrhythmias, Cardiac - therapy Cardiac arrhythmia Cardiovascular disease Checklist Clinical decision making Coronary vessels Cost effectiveness Decision making Decision support systems Decision Trees Defibrillators Defibrillators, Implantable Ejection fraction Electronic health records Goals Health administration Heart Heart attacks Heart Failure - therapy Hospitals Humans Patients Prescribing Quality of care Remote searching Software Studies Vein & artery diseases |
| title | A decision support model for prescribing internal cardiac defibrillators |
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