Nirantharakumar, Krishnarajah (2013). Clinical decision support systems in the care of hospitalised patients with diabetes. University of Birmingham. M.D.
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Nirantharakumar13MD.pdf
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Abstract
This thesis explored the role of health informatics (decision support systems) in caring for hospitalised patients with diabetes through a systematic review and by analysing data from University Hospital Birmingham, UK.
Findings from the thesis: 1) highlight the potential role of computerised physician order entry system in improving guideline based anti-diabetic medication prescription in particular insulin prescription, and their effectiveness in contributing to better glycaemic control; 2) quantify the occurrence of missed discharge diagnostic codes for diabetes using electronic prescription data and suggests 60% of this could be potentially reduced using an algorithm that could be introduced as part of the information system; 3) found that hypoglycaemia and foot disease in hospitalised diabetes patients were independently associated with higher in-hospital mortality rates and longer length of stay; 4) quantify the hypoglycaemia rates in non-diabetic patients and proposes one method of establishing a surveillance system to identify non diabetic hypoglycaemic patients; and 5) introduces a prediction model that may be useful to identify patients with diabetes at risk of poor clinical outcomes during their hospital stay.
Type of Work: | Thesis (Higher Doctorates > M.D.) | ||||||||||||
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Award Type: | Higher Doctorates > M.D. | ||||||||||||
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College/Faculty: | Colleges (2008 onwards) > College of Medical & Dental Sciences | ||||||||||||
School or Department: | School of Health and Population Studies, Department of Public Health, Epidemiology and Biostatictics | ||||||||||||
Funders: | None/not applicable | ||||||||||||
Subjects: | R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine R Medicine > RC Internal medicine |
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URI: | http://etheses.bham.ac.uk/id/eprint/4734 |
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