PhD thesis "Improving Quality of Care in Acute Cardiology"
Defended on October 13, 2010 by Jonathan Lipton
Table of contents
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General introduction
Chapter 1: Clinical decision support systems: important tools when appropriately used.
Part I: Decision making in Acute Cardiac Care
Chapter 2: Comparison of the ability of paramedics to that of cardiologists in diagnosing ST segment elevation acute myocardial infarction in patients with acute chest pain.
Chapter 3: The future of STEMI response: Implementing field-to-cardiologist ECG transmission to accelerate reperfusion in acute myocardial infarction.
Chapter 4: Prehospital triage of acute myocardial infarction: wireless transmission of electrocardiograms to the on-call cardiologist via a handheld computer.
Chapter 5: Comprehensive hospital care improvement strategies reduce time to treatment in ST-elevation acute myocardial infarction.
Part II: Alarm management in Intensive Cardiac Care
Chapter 6: Alarms on the intensive cardiac care unit.
Chapter 7: An open source toolkit for managing patient monitoring device alarms based on the IHE alarm communication management profile.
Chapter 8: Multimedia paging for clinical alarms on mobile platforms.
Part III: Glucose regulation and outcomes
Chapter 9: The role of insulin therapy and glucose normalization in patients with acute coronary syndrome.
Chapter 10: Hyperglycemia at admission and during hospital stay are independent risk factors for mortality in a high risk population admitted to the intensive cardiac care unit.
Chapter 11: Glucose control as a model for implementation of a clinical decision support system.
Chapter 12: Implementing a clinical decision support system for glucose control for the intensive cardiac care.
Chapter 13: Impact of an alerting clinical decision support system for glucose control on protocol compliance and glycemic control in the intensive cardiac care unit.
Chapter 14: Evaluation of a clinical decision support system for glucose control: impact of protocol modifications on compliance and achievement of glycemic targets.
Summary and discussion / Samenvatting en discussie
Acknowledgments / Dankwoord
PhD portfolio