Publications by authors named "T P Clemmer"
Article Synopsis
- Delivering optimal care in clinical settings is complicated by limited evidence from costly clinical trials, leaving many healthcare questions unanswered.
- Underserved regions often struggle to access and implement advanced evidence-based guidelines due to a lack of resources and training for care providers.
- The use of eActions, or validated clinical decision support systems, could enhance decision-making in busy healthcare environments, but requires overcoming technical and cultural challenges, as well as better data management systems.
Article Synopsis
- Clinical decision-making often relies on clinicians' knowledge and experience, but this can lead to biases and variations in care, complicating the goal of providing only the right care.
- Current electronic health records (EHRs) mostly serve administrative purposes and contribute to clinician stress, lacking robust decision-support tools that could enhance personalized patient care.
- The proposed solution is "eActions," which are computer protocols designed to help clinicians make consistent, evidence-based decisions for patients, thereby improving healthcare quality and reducing unwarranted variations in treatment.
Rationale: Low-tidal volume ventilation (LTVV; 6 ml/kg) benefits patients with acute respiratory distress syndrome and may aid those with other causes of respiratory failure. Current early ventilation practices are poorly defined.
Objectives: We observed patients with acute respiratory failure to assess the feasibility of a pragmatic trial of LTVV and to guide experimental design.
Objective: Develop and evaluate an automated case detection and response triggering system to monitor patients every 5 min and identify early signs of physiologic deterioration.
Materials And Methods: A 2-year prospective, observational study at a large level 1 trauma center. All patients admitted to a 33-bed medical and oncology floor (A) and a 33-bed non-intensive care unit (ICU) surgical trauma floor (B) were monitored.