Using Artificial Intelligence Techniques for Evidence-Based Decision Making in Government: Random Forest and Deep Neural Network Classification for Predicting Harmful Algal Blooms in New York State

Author(s):  
Yongjin Choi ◽  
Ramon Gil-Garcia ◽  
Oguz Aranay ◽  
Brian Burke ◽  
Derek Werthmuller
2010 ◽  
Vol 19 (3) ◽  
pp. 182-192 ◽  
Author(s):  
Alissa A. Gleacher ◽  
Erum Nadeem ◽  
Amanda J. Moy ◽  
Andria L. Whited ◽  
Anne Marie Albano ◽  
...  

Author(s):  
Susie A. Han ◽  
Valerie Gutmann Koch

ABSTRACT Objectives: During an influenza or coronavirus disease 2019 (COVID-19) pandemic that results in acute respiratory distress, the number of available ventilators will not meet demand. In 2007, the New York State Task Force on Life and the Law and Department of Health released draft Guidelines for ethical allocation of ventilators for adults. In 2015, updated guidelines were released to ensure that: (1) revisions reflect the public’s values and (2) the triage protocol is substantiated by evidence-based clinical data. We summarize the development and content of the 2015 Guidelines compared with the 2007 version, emphasizing new/revised aspects of the ethical considerations and clinical protocol. Methods: We compared the 2007 and 2015 guidelines, with particular emphasis on the ethical issues and clinical protocols. Results: The 2015 Guidelines retained much of the ethical and clinical framework of the 2007 draft. The triage protocol was revised using evidence-based clinical data. Patients with the highest likelihood of short-term survival with ventilator therapy have priority access. Protocol consists of exclusion criteria, the sequential organ failure assessment (SOFA) score, and periodic clinical assessments. Guidance is provided on secondary triage criteria. Other forms of medical intervention/palliative care and review of triage decisions are discussed. Conclusions: The 2015 Guidelines reflect advances in medicine and societal values and provide an evidenced-based framework to save the most lives. The framework could be adapted in other emergencies, such as the COVID-19 pandemic, that require ventilators.


2007 ◽  
Author(s):  
Alissa A. Taylor ◽  
Jessica Levitt ◽  
Eliot Goldman ◽  
Kimberly Hoagwood ◽  
Anne M. Albano ◽  
...  

2019 ◽  
Vol 30 (1) ◽  
pp. 74-83
Author(s):  
Mary C. Acri ◽  
Lindsay A. Bornheimer ◽  
Emily K. Hamovitch ◽  
Kate Lambert

Purpose: The aims of this study are to describe an adaptation process of a research-supported treatment (RST) for children with oppositional defiant disorder and to examine provider attitudes toward RSTs prior to and following this process. Method: Providers from 14 agencies in New York State delivered the adapted RST, following training. Attitudes toward RSTs were measured by the Evidence-Based Practice Attitude Scale at baseline and posttest. Results: Openness toward RSTs decreased from baseline to posttest. The majority of providers reported modifications to the structure and process of the intervention. Discussion: To improve the uptake and usability of RSTs in practice, future research must further address adaptation processes and their relationships to attitudes toward RSTs.


Background. Today’s landscape of population health, economics, and educational delivery methods have influenced the progress and implementation of nursing practice built on the best evidence. International literature has documented barriers to implementing and sustaining evidence-based practice (EBP). Purpose. The purposes of this study were to (a) identify barriers to implementing evidence into clinical practice in New York State (NYS), (b) prioritize resources needed to address these barriers, and (c) determine how the Cathryne A. Welch Center for Nursing (CNR) of the Foundation of NYS Nurses might provide support to address the identified barriers. Methodology. Using a modified Delphi technique, a sample of nurse leaders completed two online survey rounds. The first Round provided qualitative feedback, which was categorized via content analysis, with a second Round that asked respondents to rank the categories from Round I. Results. Organizational culture, productivity demands, and time were ranked as the top three barriers to implementing EBP in NYS. Time, leader support, and guidance/mentoring were identified as top resources needed to employ EBP. Respondents reported the CNR could facilitate EBP through financial support, communication, and mentoring. Data stratification revealed differences between rural and urban respondents, academic and clinical respondents, and geographical regions of the State, and differences in resources and support needed. Conclusion. Findings confirm barriers for NYS nurses mirror those described in the literature. Resources and support needed, however, may be demographically specific. Awareness of these differences will enable the CNR to best support NYS nurses’ implementation of EBP across the State. MeSH Keywords: Nursing, Delphi Technique, Evidence-Based Practice, Barriers to EBP, Resources for EBP


Sign in / Sign up

Export Citation Format

Share Document