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Patient Care Bundles

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Beyond SEP-1 Compliance: Assessing the Impact of Antibiotic Overtreatment and Fluid Overload in Suspected Septic Patients.

The Journal of emergency medicine
BACKGROUND: The Centers for Medicare and Medicaid Services (CMS) developed the Severe Sepsis and Septic Shock Performance Measure bundle (SEP-1) metric to improve sepsis care, but evidence supporting this bundle is limited and harms secondary to comp...

Machine Learning and Primary Total Knee Arthroplasty: Patient Forecasting for a Patient-Specific Payment Model.

The Journal of arthroplasty
BACKGROUND: Value-based and patient-specific care represent 2 critical areas of focus that have yet to be fully reconciled by today's bundled care model. Using a predictive naïve Bayesian model, the objectives of this study were (1) to develop a mach...

Bundled Care for Hip Fractures: A Machine-Learning Approach to an Untenable Patient-Specific Payment Model.

Journal of orthopaedic trauma
OBJECTIVES: With the transition to a value-based model of care delivery, bundled payment models have been implemented with demonstrated success in elective lower extremity joint arthroplasty. Yet, hip fracture outcomes are dependent on patient-level ...

Clinical decision support for severe trauma patients: Machine learning based definition of a bundle of care for hemorrhagic shock and traumatic brain injury.

The journal of trauma and acute care surgery
BACKGROUND: Deviation from guidelines is frequent in emergency situations, and this may lead to increased mortality. Probably because of time constraints, 55% is the greatest reported guidelines compliance rate in severe trauma patients. This study a...

Adaptive multi-graph contrastive learning for bundle recommendation.

Neural networks : the official journal of the International Neural Network Society
Recently, recommending bundles - sets of items that complement each other - instead of individual items to users has drawn much attention in both academia and industry. Models based on Graph Neural Networks (GNNs) for bundle recommendation have achie...