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AIM To evaluate the impact of decision support on the proportion of troponin I (cTnI) tests and associated costs over the period 2000-7 for patients presenting with chest pain in an emergency department (ED) setting. METHODS A longitudinal study using linked data for patients presenting with chest pain from the ED and laboratory information systems of a(More)
This article describes the challenges of implementing SNOMED CT into electronic clinical documentation systems for discharge summaries, synoptic operative notes and ambulatory documentation. Four significant implementation challenges were identified throughout these projects, which required collaboration between specialists across several disciplines to(More)
Few multi-centre studies of the impact of computerised provider order entry (CPOE) systems on health care efficiency and effectiveness exist. Further, demonstrating a link between system use and improvements in patient outcomes is challenging. An often neglected step is to characterise the nature of the problem prior to CPOE introduction to ensure that the(More)
To be able to do the correct action when a fault is detected, the fault isolation part must be precise and run in real time during operation of the process. In many cases can it be difficult to decide exactly where the fault is localized. In those cases, the isolation algorithm must rank the faults according to their probability to be the cause to the(More)
BACKGROUND Despite strong evidence giving guidance for effective fall prevention interventions in community-residing older people, there is currently no clear model for engaging general medical practitioners in fall prevention and routine use of allied health professionals in fall prevention has been slow, limiting widespread dissemination. This protocol(More)
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