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greenbutton [2019/09/26 15:52]
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greenbutton [2020/06/12 12:31]
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| ====== Clinical Informatics Consult at Stanford ====== | ====== Clinical Informatics Consult at Stanford ====== |
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| The **Clinical Informatics Consult** is an IRB approved project to study the use of routinely collected data on millions of individuals for providing better care. Given a specific clinical question, we provide a report with a descriptive summary of similar patients in Stanford’s clinical data warehouse, treatment choices made, and observed outcomes. | The **Clinical Informatics Consult** service was an IRB approved project to study the use of routinely collected data on millions of individuals for providing better care. Given a specific clinical question, we provided a report with a descriptive summary of similar patients in Stanford’s clinical data warehouse, treatment choices made, and observed outcomes. We used demographics, diagnoses, procedures, medications, laboratory values, clinical notes, mortality, and length of stay information for millions of patients to answer "What happened to other patients like mine?" |
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| We have access to demographics, diagnoses, procedures, medications, laboratory values, clinical notes, mortality, and length of stay information for millions of patients. If you are in an uncertain clinical situation and wonder, "What happened to other patients like mine?", we would love to help. To request a consult, please e-mail **[[greenbutton@stanford.edu|]]** from your Stanford email account. | This [[https://www.youtube.com/watch?v=zRwKm-Uhkiw | 3 minute animation]] summarizes the service we offered. The study concluded in August 2019. Learn about [[http://shahlab.stanford.edu/ACE|search engine]] that enabled the service. For setting up such a service at your institution, write to us at **[[greenbutton@stanford.edu|]]**. |
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| ===== Learn More ===== | ===== Learn More ===== |
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| [[https://stanmed.stanford.edu/2019summer/millions-ehr-harnessed-ultimate-consult-each-patient.html|Read our story]], [[:service_details | learn how we got started]], watch videos below, or check out our [[https://stanfordhealthcare.org/stanford-health-now/ceo-report/biomedical-insights-putting-data-science-to-work-for-patients.html | CEO's annual report]] and {{ ::shc_data_science_for_patients.pdf | brochure}}. | |
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| {{youtube>fuyVriaq5Vk?small | One minute video on the Informatics Consult Service}} | {{youtube>fuyVriaq5Vk?small | One minute video on the Informatics Consult Service}} |
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| {{youtube>6oEFK24s8yU?small | Two minute video on the search engine that powers service}} | {{vimeo>375462436?small | NIH Collaboratory}} |
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| Two minute video on the search engine that powers the service. | Grand Rounds at the NIH Collaboratory on Nov 22, 2019 |
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| {{youtube>2ERCBBQOMlg?t=460&small | 45 minute grand rounds talk launching the service in 2017}} | [[https://stanmed.stanford.edu/2019summer/millions-ehr-harnessed-ultimate-consult-each-patient.html|Read our story]], [[:service_details| learn how we got started]], check out our [[https://stanfordhealthcare.org/stanford-health-now/ceo-report/biomedical-insights-putting-data-science-to-work-for-patients.html| CEO's annual report]] and {{:shc_data_science_for_patients.pdf| brochure}}, or NLM Director Dr. Patricia Brennan's [[https://www.youtube.com/watch?v=h-d7LPCxtHo&t=2220 | Congressional testimony]] on Investments in Medical Research at Five Institutes & Centers of the NIH. |
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| 45 minute grand rounds talk launching the service in 2017. | ===== Example Consultations ===== |
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| ===== Example Questions ===== | |
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| - How frequently was a positive procalcitonin (defined as a result ≥ 0.5 or ≥ 2.0) associated with a positive blood culture in adults between 2013 and 2017? [[https://drive.google.com/file/d/1Za2raSDIwDaDQj_tVTN0fKqeLyhwQZz9/view?usp=sharing|See report]]. | - How frequently was a positive procalcitonin (defined as a result ≥ 0.5 or ≥ 2.0) associated with a positive blood culture in adults between 2013 and 2017? [[https://drive.google.com/file/d/1Za2raSDIwDaDQj_tVTN0fKqeLyhwQZz9/view?usp=sharing|See report]]. |
| - What is the population of admitted children (age 1 year - 17 years inclusive) who have acute kidney injury (AKI; defined as > 1.5x their baseline creatinine value) within the first 7 days of admission? [[https://drive.google.com/file/d/1_3_CugtlEpwMKxzJkYjanZ6VUV-NOOZq/view?usp=sharing|See report]]. | - What is the population of admitted children (age 1 year - 17 years inclusive) who have acute kidney injury (AKI; defined as > 1.5x their baseline creatinine value) within the first 7 days of admission? [[https://drive.google.com/file/d/1_3_CugtlEpwMKxzJkYjanZ6VUV-NOOZq/view?usp=sharing|See report]]. |
| - How many patients aged 0 to 17 years received a new diagnosis of fever of unknown origin (FUO), Kawasaki disease, apparent life-threatening event or brief resolved unexplained event (ALTE/BRUE), or seizure (febrile, simple partial, complex partial, generalized idiopathic epilepsy) in the year 2016? [[https://drive.google.com/file/d/1ttu3CKyZKa2VS8u2jvUFJxLapoTuQ5YS/view?usp=sharing|See report]]. | - How many patients aged 0 to 17 years received a new diagnosis of fever of unknown origin (FUO), Kawasaki disease, apparent life-threatening event or brief resolved unexplained event (ALTE/BRUE), or seizure (febrile, simple partial, complex partial, generalized idiopathic epilepsy) in the year 2016? [[https://drive.google.com/file/d/1ttu3CKyZKa2VS8u2jvUFJxLapoTuQ5YS/view?usp=sharing|See report]]. |
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| | ===== Handbook ===== |
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| | To learn more about setting up a version of the service at your institution, read our {{ :ics_how_to_guide.pdf |handbook}}. |
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| ===== Consult Team ===== | ===== Consult Team ===== |
