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greenbutton [2015/05/20 09:22]
nigam [Steps in building a Green Button]
greenbutton [2020/02/12 12:56] (current)
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-====== ​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)
-{{:​green-button-model.png?​nolink|}} ​+===== Data Science Collaborators =====
-====== Steps in building a Green Button ======+  * [[https://​​robert-tibshirani|Robert Tibshirani, PhD]] 
 +  * [[https://​​trevor-hastie|Trevor Hastie, PhD]]
-Gallego et al, [[http://​​doi/​full/​10.2217/​cer.15.12 | Bringing cohort studies to the bedside: framework for a 'green button'​ to support clinical decision-making]] 
greenbutton.1432138948.txt.gz · Last modified: 2015/05/20 09:22 by nigam