Journal articleAnn Surg Oncol · November 2013
BACKGROUND: Complex, oncologic surgery is an important component of resident education. Our objective was to evaluate the impact of resident participation in oncologic procedures on overall 30-day morbidity and mortality. METHODS: A retrospective cohort an ...
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Journal articleJournal of the American Medical Informatics Association : JAMIA · June 2012
ObjectiveFailure to reach research subject recruitment goals is a significant impediment to the success of many clinical trials. Implementation of health-information technology has allowed retrospective analysis of data for cohort identification a ...
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Journal articleComputers, informatics, nursing : CIN · June 2011
An important emerging information technology tool is the electronic health record with a patient-provider Internet portal. Patient-provider Internet portals offer a venue for providing this patient access to personal health data. In this study, we conducte ...
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Journal articleJournal of medical Internet research · June 2011
BACKGROUND: Internet portal technologies that provide access to portions of electronic health records have the potential to revolutionize patients' involvement in their care. However, relatively few descriptions of the demographic characteristics of portal ...
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Journal articleJournal of biomedical informatics · April 2011
In many healthcare organizations, comparative effectiveness research and quality improvement (QI) investigations are hampered by a lack of access to data created as a byproduct of patient care. Data collection often hinges upon either manual chart review o ...
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Journal articleJ AAPOS · February 2011
We present a case of bilateral severe retinal edema with subretinal fluid in an infant diagnosed with neonatal hemochromatosis and liver failure. A macular cherry-red spot in each eye mimicked the clinical appearance of many metabolic storage diseases. Bot ...
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Journal articleBMC medical informatics and decision making · February 2011
BackgroundIt is well known that the information requirements necessary to safely treat children with therapeutic medications cannot be met with the same approaches used in adults. Over a 1-year period, Duke University Hospital engaged in the chall ...
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Journal articleQuality & safety in health care · October 2010
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IntroductionAlthough paediatric patients have an increased risk for adverse drug events, few detection methodologies target this population. To utilise computerised adverse event surveillance, specialised trigger rules are required to accommodate ...
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Journal articleQuality management in health care · October 2010
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PurposeThe authors report on the managerial and logistical details of deploying a computerized adverse drug event surveillance system that was at first a grant-funded research project and ultimately was changed to a sustained safety-monitoring app ...
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Journal articleJournal of patient safety · September 2010
ObjectiveVoluntary safety event reporting often produces poorly defined data points, which complicate data analyses across health care settings. Such data should be restructured into a standard patient safety language translatable within and outsi ...
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Journal articleJournal of the American Medical Informatics Association : JAMIA · March 2010
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Healthcare is increasingly dependent upon information technology (IT), but the accumulation of data has outpaced our capacity to use it to improve operating efficiency, clinical quality, and financial effectiveness. Moreover, hospitals have lagged in adopt ...
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Journal articleThrombosis journal · February 2010
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BackgroundDespite the high frequency with which adverse drug events (ADEs) occur in outpatient settings, detailed information regarding these events remains limited. Anticoagulant drugs are associated with increased safety concerns and are commonl ...
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Journal articlePatient Saf Surg · August 11, 2009
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BACKGROUND: Given the complexity of surgical care, perioperative patients are at high risk of opioid-related adverse drug events. Existing methods of detection, such as trigger tools and manual chart review, are time-intensive which makes sustainability ch ...
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Journal articleJournal of patient safety · March 2009
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IntroductionDuke University Health System uses computerized adverse drug event surveillance as an integral part of medication safety at 2 community hospitals and an academic medical center. This information must be swiftly communicated to organiza ...
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Journal articleAmerican journal of mental retardation : AJMR · November 2008
Autism, which is common in individuals with fragile X syndrome, is often difficult to diagnose. We compared the diagnostic classifications of two measures for autism diagnosis, the ADOS and the ADI-R, in addition to the DSM-IV-TR in 63 males with this synd ...
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Journal articleJournal of Patient Safety · September 1, 2008
OBJECTIVES:: Adverse drug event (ADE) detection is a national priority. This study compares results from 2 ADE detection systems, voluntary reporting and computerized surveillance, at a large academic medical center. We analyze the medications most likely ...
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Journal articlePediatrics · May 2008
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ObjectivesChildren are at exceptionally high risk for adverse drug events. At Duke University Hospital, computerized adverse drug event surveillance and voluntary safety reporting systems work synergistically to identify adverse drug events. Here ...
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Journal articleJournal of developmental and behavioral pediatrics : JDBP · April 2007
The Prader-Willi phenotype (PWP) of fragile X syndrome (FXS) is associated with obesity and hyperphagia similar to Prader-Willi syndrome (PWS), but without cytogenetic or methylation abnormalities at 15q11-13. Thirteen cases of PWP and FXS are reported her ...
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Journal articleJ Am Med Inform Assoc · 2006
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Health care provides many opportunities in which the sharing of data between independent sites is highly desirable. Several standards are required to produce the functional and semantic interoperability necessary to support the exchange of such data: a com ...
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Journal articleAmerican journal of human genetics · May 2004
We describe five female carriers of the FMR1 premutation who presented with symptoms of tremor and ataxia and who received a diagnosis of definite or probable fragile-X-associated tremor/ataxia syndrome (FXTAS). Unlike their male counterparts with FXTAS, n ...
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