Title page for ETD etd-04062012-164934


Type of Document Master's Thesis
Author Sethi, Iccha
Author's Email Address isethi@vt.edu
URN etd-04062012-164934
Title Clinician Decision Support Dashboard: Extracting value from Electronic Medical Records
Degree Master of Science
Department Computer Science
Advisory Committee
Advisor Name Title
Garner, Harold Ray Committee Chair
Feng, Wu-Chun Committee Member
Ramakrishnan, Naren Committee Member
Keywords
  • electronic medical records
  • clinical decision support systems
  • text data mining
  • medical informatics
Date of Defense 2012-04-05
Availability restricted
Abstract
Medical records are rapidly being digitized to electronic medical records. Although Electronic Medical Records (EMRs) improve administration, billing, and logistics, an open research problem remains as to how doctors can leverage EMRs to enhance patient care. This thesis describes a system that analyzes a patient’s evolving EMR in context with available biomedical knowledge and the accumulated experience recorded in various text sources including the EMRs of other patients. The aim of the Clinician Decision Support (CDS) Dashboard is to provide interactive, automated, actionable EMR text-mining tools that help improve both the patient and clinical care staff experience. The CDS Dashboard, in a secure network, helps physicians find de-identified electronic medical records similar to their patient's medical record thereby aiding them in diagnosis, treatment, prognosis and outcomes. It is of particular value in cases involving complex disorders, and also allows physicians to explore relevant medical literature, recent research findings, clinical trials and medical cases. A pilot study done with medical students at the Virginia Tech Carilion School of Medicine and Research Institute (VTC) showed that 89% of them found the CDS Dashboard to be useful in aiding patient care for doctors and 81% of them found it useful for aiding medical students pedagogically. Additionally, over 81% of the medical students found the tool user friendly. The CDS Dashboard is constructed using a multidisciplinary approach including: computer science, medicine, biomedical research, and human-machine interfacing. Our multidisciplinary approach combined with the high usability scores obtained from VTC indicated the CDS Dashboard has a high potential value to clinicians and medical students.
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