User Tools

Site Tools



This shows you the differences between two versions of the page.

Link to this comparison view

Both sides previous revision Previous revision
Next revision
Previous revision
greenbutton [2014/11/16 11:41]
greenbutton [2020/02/12 12:56] (current)
Line 1: Line 1:
-====== ​The green button idea ====== +====== ​Clinical Informatics Consult at Stanford ​======
-By Christopher Longhurst, Robert Harrington and Nigam Shah. Described in [[http://​​content/​33/​7/​1229.abstract | A ‘Green Button’ For Using Aggregate Patient Data At The Point Of Care]].+
-{{:green-button.png?nolink|}}+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?" This [[https://​​watch?​v=zRwKm-Uhkiw | 3 minute animation]] summarizes the service we offered and this [[https://​​watch?v=6oEFK24s8yUshort video]] demonstrates the search engine that enabled the service. The study concluded in August 2019, and we are writing up the findings. To know more about setting up such a service at your institution,​ please e-mail **[[|]]**. 
 +===== Learn More ===== 
 +{{youtube>​fuyVriaq5Vk?​small | One minute video on the Informatics Consult Service}} 
 +One minute video on the Informatics Consult Service.
-''​ ''​ 
 ---- ----
-''​ ''​ 
-====== ​Usage model ======+{{vimeo>​375462436?​small | NIH Collaboratory}} 
 +Grand Rounds at the NIH Collaboratory on Nov 22, 2019 
 +[[https://​​2019summer/​millions-ehr-harnessed-ultimate-consult-each-patient.html|Read our story]], [[:​service_details| learn how we got started]], check out our [[https://​​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://​​watch?​v=h-d7LPCxtHo&​t=2220 | Congressional testimony]] on Investments in Medical Research at Five Institutes & Centers of the NIH. 
 +===== Example Consultations ===== 
 +  - 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://​​file/​d/​1Za2raSDIwDaDQj_tVTN0fKqeLyhwQZz9/​view?​usp=sharing|See report]]. 
 +  - Of patients administered opioids as inpatients or prescribed opioids as an outpatient and discharged with adequate, inadequate, or no bowel regimen, how many suffer constipation,​ bowel perforation,​ or colitis within the 30-day post-discharge period? [[https://​​file/​d/​1--fXMkiW2_cmp3jZCIcKMcg0dLkTjjXe/​view?​usp=sharing|See report]]. 
 +  - In female patients at least 18 years old and diagnosed with a urinary tract infection, and prescribed a sulfonamide antibiotic, is there any difference in peak blood glucose after treatment compared to patients prescribed a cephalosporin antibiotic or penicillin derivative antibiotic? [[https://​​file/​d/​1jg0jwH9MivsIneOQ1SKWa65WEBzgONh1/​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://​​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://​​file/​d/​1ttu3CKyZKa2VS8u2jvUFJxLapoTuQ5YS/​view?​usp=sharing|See report]]. 
 +===== Consult Team ===== 
 +  * [[https://​​profiles/​166781|Saurabh Gombar MD, PhD]] 
 +  * [[https://​​profiles/​alison-callahan|Alison Callahan, PhD]] 
 +  * Vladimir Polony 
 +  * Ken Jung, PhD 
 +  * [[https://​​profiles/​nigam-shah|Nigam Shah MBBS, PhD]] (Principal Investigator) 
 +  * [[https://​​robert-harrington|Robert Harrington, MD]] (Executive Sponsor) 
 +===== Data Science Collaborators ​=====
 +  * [[https://​​robert-tibshirani|Robert Tibshirani, PhD]]
 +  * [[https://​​trevor-hastie|Trevor Hastie, PhD]]
-{{:​green-button-model.png?​nolink|}} ​ 
greenbutton.1416166904.txt.gz · Last modified: 2014/11/16 11:41 by nigam