Improved patient outcomes and reduced costs highlight crucial link between electronic medical data and clinical practice guidelines
A new clinical study published today in this months American Journal of Managed Care demonstrated that a technology-driven clinical decision support system applying evidence-based clinical guidelines to patients electronic medical data helps flag potentially serious clinical errors or deviations from accepted best practices, while making a significant improvement on the cost and quality of medical care.
This 12-month randomized, prospective study of 39,462 members of QualChoice, a University Hospitals Health System healthcare plan in Cleveland, Ohio, is the first ever large-scale study of a clinical decision support system conducted in an outpatient health plan environment. Researchers for ActiveHealth Management evaluated the cost impact of ActiveHealths clinical decision support tool, the CareEngine® system. The CareEngine clinical decision support system compares the most up-to-date, evidence-based clinical guidelines to an individual patients data in order to identify clinical interventions and issue clinical recommendations – called Care Considerations -- spanning a wide range of disease categories. In the study, each patient was randomized either to the intervention group – the group that would receive Care Considerations – or the control group – those for whom Care Considerations were identified, but not communicated.
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Our brains house extremely complex neuronal circuits, whose detailed structures are still largely unknown. This is especially true for the so-called cerebral cortex of mammals, where among other things vision, thoughts or spatial orientation are being computed. Here the rules by which nerve cells are connected to each other are only partly understood. A team of scientists around Moritz Helmstaedter at the Frankfiurt Max Planck Institute for Brain Research and Helene Schmidt (Humboldt University in Berlin) have now discovered a surprisingly precise nerve cell connectivity pattern in the part of the cerebral cortex that is responsible for orienting the individual animal or human in space.
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Using ultrafast flashes of laser and x-ray radiation, scientists at the Max Planck Institute of Quantum Optics (Garching, Germany) took snapshots of the briefest electron motion inside a solid material to date. The electron motion lasted only 750 billionths of the billionth of a second before it fainted, setting a new record of human capability to capture ultrafast processes inside solids!
When x-rays shine onto solid materials or large molecules, an electron is pushed away from its original place near the nucleus of the atom, leaving a hole...
For the first time, physicists have successfully imaged spiral magnetic ordering in a multiferroic material. These materials are considered highly promising candidates for future data storage media. The researchers were able to prove their findings using unique quantum sensors that were developed at Basel University and that can analyze electromagnetic fields on the nanometer scale. The results – obtained by scientists from the University of Basel’s Department of Physics, the Swiss Nanoscience Institute, the University of Montpellier and several laboratories from University Paris-Saclay – were recently published in the journal Nature.
Multiferroics are materials that simultaneously react to electric and magnetic fields. These two properties are rarely found together, and their combined...
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