Using cognitive task analysis to facilitate the integration of decision support systems into the neonatal intensive care unit

2005 ◽  
Vol 35 (3) ◽  
pp. 243-257 ◽  
Author(s):  
Gordon D. Baxter ◽  
Andrew F. Monk ◽  
Kenneth Tan ◽  
Peter R.F. Dear ◽  
Simon J. Newell
Author(s):  
Simone A. Ludwig ◽  
Stefanie Roos ◽  
Monique Frize ◽  
Nicole Yu

The rate of people dying from medical errors in hospitals each year is very high. Errors that frequently occur during the course of providing health care are adverse drug events and improper transfusions, surgical injuries and wrong-site surgery, suicides, restraint-related injuries or death, falls, burns, pressure ulcers, and mistaken patient identities. Medical decision support systems play an increasingly important role in medical practice. By assisting physicians in making clinical decisions, medical decision support systems improve the quality of medical care. Two approaches have been investigated for the prediction of medical outcomes: “hours of ventilation” and the “mortality rate” in the adult intensive care unit. The first approach is based on neural networks with the weight-elimination algorithm, and the second is based on genetic programming. Both approaches are compared to commonly used machine learning algorithms. Results show that both algorithms developed score well for the outcomes selected.


2012 ◽  
pp. 1068-1079
Author(s):  
Simone A. Ludwig ◽  
Stefanie Roos ◽  
Monique Frize ◽  
Nicole Yu

The rate of people dying from medical errors in hospitals each year is very high. Errors that frequently occur during the course of providing health care are adverse drug events and improper transfusions, surgical injuries and wrong-site surgery, suicides, restraint-related injuries or death, falls, burns, pressure ulcers, and mistaken patient identities. Medical decision support systems play an increasingly important role in medical practice. By assisting physicians in making clinical decisions, medical decision support systems improve the quality of medical care. Two approaches have been investigated for the prediction of medical outcomes: “hours of ventilation” and the “mortality rate” in the adult intensive care unit. The first approach is based on neural networks with the weight-elimination algorithm, and the second is based on genetic programming. Both approaches are compared to commonly used machine learning algorithms. Results show that both algorithms developed score well for the outcomes selected.


Author(s):  
Simone A. Ludwig ◽  
Stefanie Roos ◽  
Monique Frize ◽  
Nicole Yu

The rate of people dying from medical errors in hospitals each year is very high. Errors that frequently occur during the course of providing health care are adverse drug events and improper transfusions, surgical injuries and wrong-site surgery, suicides, restraint-related injuries or death, falls, burns, pressure ulcers, and mistaken patient identities. Medical decision support systems play an increasingly important role in medical practice. By assisting physicians in making clinical decisions, medical decision support systems improve the quality of medical care. Two approaches have been investigated for the prediction of medical outcomes: “hours of ventilation” and the “mortality rate” in the adult intensive care unit. The first approach is based on neural networks with the weight-elimination algorithm, and the second is based on genetic programming. Both approaches are compared to commonly used machine learning algorithms. Results show that both algorithms developed score well for the outcomes selected.


Author(s):  
Laura Militello

A study is presented utilizing cognitive task analysis (CTA) methods to elicit knowledge from Neonatal Intensive Care Unit (NICU) nurses regarding the assessment of infants at risk for Necrotizing Enterocolitis (NEC). Researchers were successful in eliciting knowledge not available in current nursing texts. Knowledge elicited includes a framework for considering NEC and problem-solving strategies used by experienced nurses. Implications for nurse instruction and potential applications of this information for decision support are discussed.


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