Publications by authors named "Nicholas S Bishop"
The Complete Inpatient Record Using Comprehensive Electronic Data (CIRCE) project: A team-based approach to clinically validated, research-ready electronic health record data.
Learn Health Syst
January 2025
Introduction: The rapid adoption of electronic health record (EHR) systems has resulted in extensive archives of data relevant to clinical research, hospital operations, and the development of learning health systems. However, EHR data are not frequently available, cleaned, standardized, validated, and ready for use by stakeholders. We describe an in-progress effort to overcome these challenges with cooperative, systematic data extraction and validation.
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- Many care management programs for chronic lung disease fail to effectively reduce hospitalizations because they don't address the specific mechanisms causing them.
- The study examined the experiences of 22 patients with chronic lung disease who were hospitalized, focusing on common underlying issues that led to their acute exacerbations.
- Key findings included factors like difficulty managing symptoms at home, barriers to accessing healthcare, ongoing functional limitations, and mental health issues, which often existed long before hospitalization.
Background: Sepsis is a major burden for health care systems in the United States, with over 750,000 cases annually and a total cost of approximately US $20 billion. The hallmark of sepsis treatment is early and appropriate initiation of antibiotic therapy. Although sepsis clinical decision support (CDS) systems can provide clinicians with early predictions of suspected sepsis or imminent clinical decline, such systems have not reliably demonstrated improvements in clinical outcomes or care processes.
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