Data-driven approaches to augment clinical decision in EMR Era

Patient data in electronic medical record systems can serve as an incredible source of evidence on the real-world evaluation of the relationship between medicine treatments and the well-being of the patient. However, the vast amount of raw data presents a significant bottleneck for physician to make sense from it, thus limiting its use in a time pressured clinical setting. A niche exists to develop approaches to enhance a physician's ability to process large volume of data with the use of `external aids' in an effort to augment their data cognition capabilities. In this paper, we present how a symbiotic relationship between analysis and visualization techniques can be used to help make sense of a large patient data set. Using examples, we demonstrate our data-driven approach, and show how it can serve a physician in the clinical decision support role at the point of care.

[1]  Silvia Miksch,et al.  Metaphors of movement: a visualization and user interface for time-oriented, skeletal plans , 2001, Artif. Intell. Medicine.

[2]  T. R. Taylor,et al.  Physician policies on the use of preventive hormone therapy. , 1997, American journal of preventive medicine.

[3]  D. Shye,et al.  Primary care physicians' use of lumbar spine imaging tests: effects of guidelines and practice pattern feedback. , 1997, Journal of general internal medicine.

[4]  A. Karr,et al.  Visual Scalability , 2002 .

[5]  Judith A. Effken,et al.  Clinical information displays to improve ICU outcomes , 2008, Int. J. Medical Informatics.

[6]  Pak Chung Wong,et al.  Guest Editor's Introduction: Visual Data Mining , 1999, IEEE Computer Graphics and Applications.

[7]  D. Shye,et al.  Primary care physicians’ use of lumbar spine imaging tests , 1997, Journal of General Internal Medicine.

[8]  G. Niklas Norén,et al.  Temporal pattern discovery for trends and transient effects: its application to patient records , 2008, KDD.

[9]  P A Mathieu,et al.  Comparison of four different display designs of a novel anaesthetic monitoring system, the 'integrated monitor of anaesthesia (IMA)'. , 2009, British journal of anaesthesia.

[10]  Alessio Bottrighi,et al.  GLARE: a Domain-Independent System for Acquiring, Representing and Executing Clinical Guidelines , 2006, AMIA.

[11]  David W. Bates,et al.  Reducing the frequency of errors in medicine using information technology. , 2001, Journal of the American Medical Informatics Association : JAMIA.

[12]  R. Centor,et al.  Reassessment of clinical practice guidelines: go gently into that good night. , 2009, JAMA.

[13]  Kristin A. Cook,et al.  Illuminating the Path: The Research and Development Agenda for Visual Analytics , 2005 .

[14]  Yuval Shahar,et al.  DEGEL: A Hybrid, Multiple-Ontology Framework for Specification and Retrieval of Clinical Guidelines , 2003, AIME.

[15]  Jiawei Han,et al.  Frequent pattern mining: current status and future directions , 2007, Data Mining and Knowledge Discovery.

[16]  Kenneth Gersing,et al.  VisualDecisionLinc: A visual analytics approach for comparative effectiveness-based clinical decision support in psychiatry , 2012, J. Biomed. Informatics.

[17]  L. Hayden,et al.  Ten Commandments for Effective Clinical Decision Support: Making the Practice of Evidence-based Medicine a Reality , 2011 .

[18]  Kenneth Gersing,et al.  Mapping patient treatment profiles and electronic medical records to a clinical guideline for use in patient care , 2012, IHI '12.

[19]  Silvia Miksch,et al.  CareVis: Integrated visualization of computerized protocols and temporal patient data , 2006, Artif. Intell. Medicine.

[20]  L. Jackson,et al.  Family physicians managing tuberculosis. Qualitative study of overcoming barriers. , 1997, Canadian family physician Medecin de famille canadien.

[21]  Michael Krauthammer,et al.  Writing clinical practice guidelines in controlled natural language , 2009 .

[22]  Joanne Lim,et al.  Visual Cueing with Context Relevant Information for Reducing Change Blindness , 2009, Journal of Clinical Monitoring and Computing.

[23]  Jie Chen,et al.  Mining Unexpected Temporal Associations: Applications in Detecting Adverse Drug Reactions , 2008, IEEE Transactions on Information Technology in Biomedicine.

[24]  Michael H. Böhlen,et al.  Visual Data Mining - Theory, Techniques and Tools for Visual Analytics , 2008, Visual Data Mining.

[25]  M. Kulldorff,et al.  Early detection of adverse drug events within population‐based health networks: application of sequential testing methods , 2007, Pharmacoepidemiology and drug safety.

[26]  M. Field,et al.  Guidelines for Clinical Practice: From Development to Use , 1992 .