CA FIRST (加利福尼亚州发烧婴儿风险分层工具) 在学习健康系统中开发算法
Tara L Greenhow1,2, Tran Hp Nguyen2,3, Beverly R Young2,3
1Division of Infectious Diseases, Department of Pediatrics, Kaiser Permanente Northern California, San Francisco, CA, USA.
The Permanente journal
|August 10, 2023
概括
加利福尼亚州发烧婴儿风险分层工具 (CA FIRST) 提供13个算法来指导急诊室对发烧婴儿的护理. 该工具增强了现有的指导方针,确保对更广泛的年龄段和特定条件进行安全和有效的管理.
科学领域:
- 儿科 儿科 儿科
- 紧急医疗 紧急医疗
- 临床信息学 临床信息学
背景情况:
- 到急诊室 (ED) 的婴儿发烧管理缺乏标准化的方法.
- 现有的临床指南,如罗斯维尔协议 (ROS) 和美国儿科学会 (AAP) 临床实践指南 (CPG),有局限性.
- 需要精细的算法来有效地管理发烧的婴儿在社区ED设置.
研究的目的:
- 通过整合 ROS 和 AAP CPG 的组件来开发加州发烧婴儿风险分层工具 (CA FIRST).
- 使用社区ED数据创建一套强大的算法,用于发烧婴儿风险分层.
- 为了通知更广泛的临床指导管理发烧婴儿的修改.
主要方法:
- 对3527名发烧的7至90天的婴儿进行了回顾性分析,这些婴儿向凯撒永久医院北加州提供了ED (2010-2019).
- 通过合并 ROS 和 AAP CPG 组件来开发 CA FIRST 算法.
- 评估CA FIRST的性能特征,并确定针对特定婴儿子组的增强措施.
主要成果:
- 在7至60天的婴儿中,CA FIRST算法表现出与ROS和AAP CPG可比的性能.
- CA FIRST为61-90天的婴儿,高风险婴儿,支气管炎患者和接种疫苗后发烧患者提供了增强的指导.
- 在研究队列中,没有观察到发烧的婴儿患有呼吸道同胞病毒或疫苗接种后发烧的侵入性细菌感染.
结论:
- CA FIRST算法提供了一种灵活而周到的方法来管理发烧的婴儿,旨在最大限度地减少不必要的干预.
- CA FIRST赋予临床医生以基于证据的工具来管理大多数发烧的婴儿.
- 这些算法被设计成具有适应性,将新数据纳入学习医疗保健系统,以提供当前的教育信息.
相关概念视频
Healthcare Associated Infections II: Preventive Measures
2.7K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.7K
Nursing Clinical Information System
813
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
813
Steps in Outbreak Investigation
152
In the ever-evolving field of public health, statistical analysis serves as a cornerstone for understanding and managing disease outbreaks. By leveraging various statistical tools, health professionals can predict potential outbreaks, analyze ongoing situations, and devise effective responses to mitigate impact. For that to happen, there are a few possible stages of the analysis:
152
Classification of Illness
7.6K
The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
7.6K
Principles of Disease Surveillance
124
Disease surveillance is the systematic collection, analysis, and interpretation of health data essential to the planning, implementation, and evaluation of public health practice. This process integrates data dissemination to entities responsible for preventing and controlling disease, injury, and disability. Surveillance systems provide crucial information for action, helping public health authorities make informed decisions to manage and prevent outbreaks, ensure public safety, optimize...
124
Integrated Healthcare System
1.7K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
1.7K


