Accession Number : ADA601841


Title :   Proposal for Development of EBM-CDSS (Evidence-based Clinical Decision Support System) to Aid Prognostication in Terminally Ill Patients


Descriptive Note : Annual rept. 25 Sep 2011-24 Sep 2012


Corporate Author : UNIVERSITY OF SOUTH FLORIDA TAMPA


Personal Author(s) : Djulbegovic, Benjamin


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/a601841.pdf


Report Date : Oct 2012


Pagination or Media Count : 240


Abstract : Goal of the project is to develop an Evidence-based Clinical Decision Support (EBM-CDSS) system and make it available at the point of care to improve prognostication of the life expectancy of terminally ill patients to improve referral of patients to hospice. In addition, the EBM-CDSS will be expanded with an evidence based pain management module (EBPMM) to assist physicians managing patients with pain. So far our key research accomplishments are as follows (see details below). In brief, we have Revised (and continue to revise) the software for the EBM-CDSS. Revised (and continue to revise) the user guide for the EBM-CDSS software and the training manual to assist research team for data collection in the prospective phase of the study (see appendix 11). Completed the initial paperwork to add Moffitt Cancer Center as a study site and submitted the study protocol and other required documents to Moffitt cancer centers scientific review committee. Submitted the amendment to the project reflecting changes in the study team, changes to the informed consent forms and the study protocol to University of South Florida institutional review board. Completed the Tampa General Hospitals (TGH) credentialing procedures for all (3) research personnel. Completed the TGH electronic record system (EPIC) training for 3 research personnel. Completed the training of research nurses regarding EBM-CDSS software and data collection procedures. Started advertising our study at TGH and among USF physicians. Opened enrollment in the prospective phase of the study. Actively monitoring all aspects of the study Further developed and completed internal testing the pain module of the EB-PMM module. Published multiple peer reviewed manuscripts (see appendices 1-7).


Descriptors :   *ILLNESS , *PAIN , CANCER , DATA ACQUISITION , DECISION SUPPORT SYSTEMS , LIFE EXPECTANCY(SERVICE LIFE) , PATIENTS


Subject Categories : Anatomy and Physiology
      Medicine and Medical Research


Distribution Statement : APPROVED FOR PUBLIC RELEASE