Matches in SemOpenAlex for { <https://semopenalex.org/work/W3213184512> ?p ?o ?g. }
Showing items 1 to 81 of
81
with 100 items per page.
- W3213184512 abstract "<h3>Background</h3> The Liverpool Sleep Centre provides secondary/tertiary level care for a range of sleep disorders. An increasing volume of referrals and the impact of Covid threatened to overwhelm the service resulting in increasing clinical risk and decreased patient satisfaction. We describe how the use of technology addressed these challenges through the implementation of a Computer Guided Consultation system i.e. clinical decision support software (CDSS). <h3>Methodology</h3> The CDSS is a digital ecosystem comprising multiple intelligent consultations encompassing the entire OSA pathway including Assessment and diagnosis, CPAP set up, CPAP monitoring and issuing consumables thus acting as an end to end system solution and an Electronic Patient Record. The CDSS also features a ‘clinical dashboard’ allowing the service to track activity, monitor RTT performance and identify high risk patients e.g. sleepy drivers, hypoventilation in ‘real time’. <h3>Results</h3> Prior to implementation of the CDSS, all suspected OSA referrals underwent a sleep study and the results of which together with the information contained in the referral letter would have been reviewed by a Consultant in a ‘Virtual clinic’ with treatment decisions made in such clinics. In order to meet this demand, the service required 8 clinics weekly (5 Consultant ‘Virtual’ clinics consisting of 20 patients each and 3 ‘Combined’ Consultant/Physiologist clinics). Since March 1st to June 2021 following CDSS implementation, 325 patients (see table 1 for demographics) with suspected OSA were assessed by paramedical staff using the CDSS. Only 15% of these patients subsequently required a Consultant review either in a ‘Virtual’ or a ‘Face to Face’ manner (translating into just 0.5 clinics weekly), no ‘combined’ clinics were required with the ‘clinical dashboard’ used to highlight difficult cases for a weekly MDT. The CDSS generates automated clinical letters for each review thus greatly reducing secretarial time/costs for the service as no typing is required. <h3>Conclusion</h3> The implementation of an intelligent Computer Guided Consultation system has resulted in pathway transformation enabling scarce Consultant resource to be channelled to where it is most required and enhancing service capacity, efficiency and patient safety. Adopting the system results in multi-level health economic benefits and facilitates greater service oversight. Please refer to page A192 for declarations of interest related to this abstract." @default.
- W3213184512 created "2021-11-22" @default.
- W3213184512 creator A5005733026 @default.
- W3213184512 creator A5008100568 @default.
- W3213184512 creator A5022705515 @default.
- W3213184512 creator A5023573754 @default.
- W3213184512 creator A5031072157 @default.
- W3213184512 creator A5058076862 @default.
- W3213184512 creator A5058101907 @default.
- W3213184512 creator A5070924341 @default.
- W3213184512 creator A5077581681 @default.
- W3213184512 creator A5089390865 @default.
- W3213184512 date "2021-11-01" @default.
- W3213184512 modified "2023-09-26" @default.
- W3213184512 title "P73 Implementation of a computer guided consultation (intelligent clinical decision support system software) in the Liverpool sleep service: the creation of a digital ecosystem to transform patient pathways" @default.
- W3213184512 doi "https://doi.org/10.1136/thorax-2021-btsabstracts.183" @default.
- W3213184512 hasPublicationYear "2021" @default.
- W3213184512 type Work @default.
- W3213184512 sameAs 3213184512 @default.
- W3213184512 citedByCount "0" @default.
- W3213184512 crossrefType "proceedings-article" @default.
- W3213184512 hasAuthorship W3213184512A5005733026 @default.
- W3213184512 hasAuthorship W3213184512A5008100568 @default.
- W3213184512 hasAuthorship W3213184512A5022705515 @default.
- W3213184512 hasAuthorship W3213184512A5023573754 @default.
- W3213184512 hasAuthorship W3213184512A5031072157 @default.
- W3213184512 hasAuthorship W3213184512A5058076862 @default.
- W3213184512 hasAuthorship W3213184512A5058101907 @default.
- W3213184512 hasAuthorship W3213184512A5070924341 @default.
- W3213184512 hasAuthorship W3213184512A5077581681 @default.
- W3213184512 hasAuthorship W3213184512A5089390865 @default.
- W3213184512 hasBestOaLocation W32131845121 @default.
- W3213184512 hasConcept C107327155 @default.
- W3213184512 hasConcept C136264566 @default.
- W3213184512 hasConcept C154945302 @default.
- W3213184512 hasConcept C159110408 @default.
- W3213184512 hasConcept C160735492 @default.
- W3213184512 hasConcept C162324750 @default.
- W3213184512 hasConcept C27415008 @default.
- W3213184512 hasConcept C2776135927 @default.
- W3213184512 hasConcept C2779891985 @default.
- W3213184512 hasConcept C2780378061 @default.
- W3213184512 hasConcept C41008148 @default.
- W3213184512 hasConcept C50522688 @default.
- W3213184512 hasConcept C512399662 @default.
- W3213184512 hasConcept C545542383 @default.
- W3213184512 hasConcept C63527458 @default.
- W3213184512 hasConcept C71924100 @default.
- W3213184512 hasConceptScore W3213184512C107327155 @default.
- W3213184512 hasConceptScore W3213184512C136264566 @default.
- W3213184512 hasConceptScore W3213184512C154945302 @default.
- W3213184512 hasConceptScore W3213184512C159110408 @default.
- W3213184512 hasConceptScore W3213184512C160735492 @default.
- W3213184512 hasConceptScore W3213184512C162324750 @default.
- W3213184512 hasConceptScore W3213184512C27415008 @default.
- W3213184512 hasConceptScore W3213184512C2776135927 @default.
- W3213184512 hasConceptScore W3213184512C2779891985 @default.
- W3213184512 hasConceptScore W3213184512C2780378061 @default.
- W3213184512 hasConceptScore W3213184512C41008148 @default.
- W3213184512 hasConceptScore W3213184512C50522688 @default.
- W3213184512 hasConceptScore W3213184512C512399662 @default.
- W3213184512 hasConceptScore W3213184512C545542383 @default.
- W3213184512 hasConceptScore W3213184512C63527458 @default.
- W3213184512 hasConceptScore W3213184512C71924100 @default.
- W3213184512 hasLocation W32131845121 @default.
- W3213184512 hasOpenAccess W3213184512 @default.
- W3213184512 hasPrimaryLocation W32131845121 @default.
- W3213184512 hasRelatedWork W166050722 @default.
- W3213184512 hasRelatedWork W2010433771 @default.
- W3213184512 hasRelatedWork W2012094504 @default.
- W3213184512 hasRelatedWork W2313452852 @default.
- W3213184512 hasRelatedWork W2509104548 @default.
- W3213184512 hasRelatedWork W2538336820 @default.
- W3213184512 hasRelatedWork W2585678746 @default.
- W3213184512 hasRelatedWork W2613500776 @default.
- W3213184512 hasRelatedWork W4244473039 @default.
- W3213184512 hasRelatedWork W4304890710 @default.
- W3213184512 isParatext "false" @default.
- W3213184512 isRetracted "false" @default.
- W3213184512 magId "3213184512" @default.
- W3213184512 workType "article" @default.