Interaction patterns of trauma providers are associated with length of stay

Journal of the American Medical Informatics Association : JAMIA
You ChenBradley A Malin

Abstract

Trauma-related hospitalizations drive a high percentage of health care expenditure and inpatient resource consumption, which is directly related to length of stay (LOS). Robust and reliable interactions among health care employees can reduce LOS. However, there is little known about whether certain patterns of interactions exist and how they relate to LOS and its variability. The objective of this study is to learn interaction patterns and quantify the relationship to LOS within a mature trauma system and long-standing electronic medical record (EMR). We adapted a spectral co-clustering methodology to infer the interaction patterns of health care employees based on the EMR of 5588 hospitalized adult trauma survivors. The relationship between interaction patterns and LOS was assessed via a negative binomial regression model. We further assessed the influence of potential confounders by age, number of health care encounters to date, number of access action types care providers committed to patient EMRs, month of admission, phenome-wide association study codes, procedure codes, and insurance status. Three types of interaction patterns were discovered. The first pattern exhibited the most collaboration between employees and was ass...Continue Reading

References

Nov 3, 1989·MMWR. Morbidity and Mortality Weekly Report·UNKNOWN Centers for Disease Control (CDC)
Aug 18, 1999·Annals of Surgery·T C CollinsS F Khuri
Apr 3, 2003·Genome Research·Yuval KlugerMark Gerstein
Nov 2, 2004·Statistical Methods in Medical Research·Iven Van MechelenPaul De Boeck
Nov 17, 2004·Archives of Surgery·David M Friedman, David L Berger
Sep 26, 2007·Archives of Internal Medicine·William N SouthernJulia H Arnsten
Jul 18, 2008·Proceedings of the National Academy of Sciences of the United States of America·Nicolas D WerbeckLaura S Itzhaki
Jul 22, 2010·The New England Journal of Medicine·David Blumenthal, Marilyn Tavenner
Dec 15, 2010·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Andrew Georgiou, David J Lockey
Dec 18, 2012·Congenital Heart Disease·Matthew E OsterWilliam T Mahle
Oct 19, 2013·Journal of Spinal Disorders & Techniques·Hassan AloshRichard L Skolasky
Mar 13, 2014·Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses·Cecile D'HuyvetterThomas H Cogbill
May 23, 2014·International Journal of Medical Informatics·You ChenBradley Malin
Jul 6, 2014·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Carla CoffeyJulia Covert
Mar 31, 2015·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Ann Quinlan
Apr 7, 2015·Journal of Biomedical Informatics·You ChenBradley Malin
Sep 2, 2016·Journal of Perinatology : Official Journal of the California Perinatal Association·C DeRienzoD Tanaka
Jan 26, 2017·International Journal of Medical Informatics·Annet SollieMattijs E Numans

❮ Previous
Next ❯

Citations

Nov 22, 2019·Journal of the American Medical Informatics Association : JAMIA·Adam RuleMichelle R Hribar
Mar 20, 2019·Journal of the American Medical Informatics Association : JAMIA·Ashimiyu B DurojaiyeAyse P Gurses
Feb 13, 2021·Journal of the American Medical Informatics Association : JAMIA·Bob ChenYou Chen

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

© 2022 Meta ULC. All rights reserved