{"id":"https://openalex.org/W2886309256","doi":"https://doi.org/10.1055/s-0038-1667122","title":"Design and Implementation of a Pediatric ICU Acuity Scoring Tool as Clinical Decision Support","display_name":"Design and Implementation of a Pediatric ICU Acuity Scoring Tool as Clinical Decision Support","publication_year":2018,"publication_date":"2018-07-01","ids":{"openalex":"https://openalex.org/W2886309256","doi":"https://doi.org/10.1055/s-0038-1667122","mag":"2886309256","pmid":"https://pubmed.ncbi.nlm.nih.gov/30068013"},"language":"en","primary_location":{"id":"doi:10.1055/s-0038-1667122","is_oa":true,"landing_page_url":"https://doi.org/10.1055/s-0038-1667122","pdf_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0038-1667122.pdf","source":{"id":"https://openalex.org/S187139995","display_name":"Applied Clinical Informatics","issn_l":"1869-0327","issn":["1869-0327"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied Clinical Informatics","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0038-1667122.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5085869438","display_name":"Eric Shelov","orcid":null},"institutions":[{"id":"https://openalex.org/I1335321130","display_name":"Children's Hospital of Philadelphia","ror":"https://ror.org/01z7r7q48","country_code":"US","type":"funder","lineage":["https://openalex.org/I1335321130"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Eric Shelov","raw_affiliation_strings":["Department of General Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of General Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States","institution_ids":["https://openalex.org/I1335321130"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5003705290","display_name":"Naveen Muthu","orcid":"https://orcid.org/0000-0002-8259-6965"},"institutions":[{"id":"https://openalex.org/I1335321130","display_name":"Children's Hospital of Philadelphia","ror":"https://ror.org/01z7r7q48","country_code":"US","type":"funder","lineage":["https://openalex.org/I1335321130"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Naveen Muthu","raw_affiliation_strings":["Department of General Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of General Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States","institution_ids":["https://openalex.org/I1335321130"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022294719","display_name":"Heather Wolfe","orcid":"https://orcid.org/0000-0002-2760-6286"},"institutions":[{"id":"https://openalex.org/I1335321130","display_name":"Children's Hospital of Philadelphia","ror":"https://ror.org/01z7r7q48","country_code":"US","type":"funder","lineage":["https://openalex.org/I1335321130"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Heather Wolfe","raw_affiliation_strings":["Department of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States","institution_ids":["https://openalex.org/I1335321130"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111766430","display_name":"Danielle Traynor","orcid":null},"institutions":[{"id":"https://openalex.org/I1335321130","display_name":"Children's Hospital of Philadelphia","ror":"https://ror.org/01z7r7q48","country_code":"US","type":"funder","lineage":["https://openalex.org/I1335321130"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Danielle Traynor","raw_affiliation_strings":["Department of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States","institution_ids":["https://openalex.org/I1335321130"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015806961","display_name":"Nancy Craig","orcid":null},"institutions":[{"id":"https://openalex.org/I1335321130","display_name":"Children's Hospital of Philadelphia","ror":"https://ror.org/01z7r7q48","country_code":"US","type":"funder","lineage":["https://openalex.org/I1335321130"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Nancy Craig","raw_affiliation_strings":["Department of Respiratory Therapy, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Respiratory Therapy, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States","institution_ids":["https://openalex.org/I1335321130"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5028576874","display_name":"Christopher P. Bonafide","orcid":"https://orcid.org/0000-0003-2823-5883"},"institutions":[{"id":"https://openalex.org/I1335321130","display_name":"Children's Hospital of Philadelphia","ror":"https://ror.org/01z7r7q48","country_code":"US","type":"funder","lineage":["https://openalex.org/I1335321130"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Christopher Bonafide","raw_affiliation_strings":["Department of General Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of General Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States","institution_ids":["https://openalex.org/I1335321130"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5023592446","display_name":"Vinay Nadkarni","orcid":"https://orcid.org/0000-0002-3794-5599"},"institutions":[{"id":"https://openalex.org/I1335321130","display_name":"Children's Hospital of Philadelphia","ror":"https://ror.org/01z7r7q48","country_code":"US","type":"funder","lineage":["https://openalex.org/I1335321130"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Vinay Nadkarni","raw_affiliation_strings":["Department of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States","institution_ids":["https://openalex.org/I1335321130"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5104034817","display_name":"Daniela Davis","orcid":null},"institutions":[{"id":"https://openalex.org/I1335321130","display_name":"Children's Hospital of Philadelphia","ror":"https://ror.org/01z7r7q48","country_code":"US","type":"funder","lineage":["https://openalex.org/I1335321130"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Daniela Davis","raw_affiliation_strings":["Department of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States","institution_ids":["https://openalex.org/I1335321130"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5062121980","display_name":"Maya Dewan","orcid":"https://orcid.org/0000-0002-9966-3845"},"institutions":[{"id":"https://openalex.org/I1285204247","display_name":"Cincinnati Children's Hospital Medical Center","ror":"https://ror.org/01hcyya48","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1285204247"]},{"id":"https://openalex.org/I92156820","display_name":"University of Cincinnati Medical Center","ror":"https://ror.org/02p72h367","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I92156820"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Maya Dewan","raw_affiliation_strings":["Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, United States","Division of Critical Care Medicine, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, United States","institution_ids":["https://openalex.org/I92156820"]},{"raw_affiliation_string":"Division of Critical Care Medicine, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, United States","institution_ids":["https://openalex.org/I1285204247"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":9,"corresponding_author_ids":["https://openalex.org/A5085869438"],"corresponding_institution_ids":["https://openalex.org/I1335321130"],"apc_list":null,"apc_paid":null,"fwci":5.0951,"has_fulltext":true,"cited_by_count":26,"citation_normalized_percentile":{"value":0.95195413,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":90,"max":99},"biblio":{"volume":"09","issue":"03","first_page":"576","last_page":"587"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.7354000210762024,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.7354000210762024,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13248","display_name":"Healthcare Technology and Patient Monitoring","score":0.07530000060796738,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10218","display_name":"Sepsis Diagnosis and Treatment","score":0.05380000174045563,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/checklist","display_name":"Checklist","score":0.5641564130783081},{"id":"https://openalex.org/keywords/clinical-decision-support-system","display_name":"Clinical decision support system","score":0.5293546319007874},{"id":"https://openalex.org/keywords/sql","display_name":"SQL","score":0.5232405066490173},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.5165594816207886},{"id":"https://openalex.org/keywords/vendor","display_name":"Vendor","score":0.49478214979171753},{"id":"https://openalex.org/keywords/metric","display_name":"Metric (unit)","score":0.4849455654621124},{"id":"https://openalex.org/keywords/workflow","display_name":"Workflow","score":0.4791104793548584},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.4587673246860504},{"id":"https://openalex.org/keywords/preparedness","display_name":"Preparedness","score":0.448726087808609},{"id":"https://openalex.org/keywords/concordance","display_name":"Concordance","score":0.417649507522583},{"id":"https://openalex.org/keywords/decision-support-system","display_name":"Decision support system","score":0.3733857274055481},{"id":"https://openalex.org/keywords/medical-emergency","display_name":"Medical emergency","score":0.3723676800727844},{"id":"https://openalex.org/keywords/database","display_name":"Database","score":0.23739272356033325},{"id":"https://openalex.org/keywords/data-mining","display_name":"Data mining","score":0.2371198534965515},{"id":"https://openalex.org/keywords/operations-management","display_name":"Operations management","score":0.137563556432724}],"concepts":[{"id":"https://openalex.org/C2779356329","wikidata":"https://www.wikidata.org/wiki/Q922625","display_name":"Checklist","level":2,"score":0.5641564130783081},{"id":"https://openalex.org/C63527458","wikidata":"https://www.wikidata.org/wiki/Q5133829","display_name":"Clinical decision support system","level":3,"score":0.5293546319007874},{"id":"https://openalex.org/C510870499","wikidata":"https://www.wikidata.org/wiki/Q47607","display_name":"SQL","level":2,"score":0.5232405066490173},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.5165594816207886},{"id":"https://openalex.org/C2777338717","wikidata":"https://www.wikidata.org/wiki/Q1762621","display_name":"Vendor","level":2,"score":0.49478214979171753},{"id":"https://openalex.org/C176217482","wikidata":"https://www.wikidata.org/wiki/Q860554","display_name":"Metric (unit)","level":2,"score":0.4849455654621124},{"id":"https://openalex.org/C177212765","wikidata":"https://www.wikidata.org/wiki/Q627335","display_name":"Workflow","level":2,"score":0.4791104793548584},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4587673246860504},{"id":"https://openalex.org/C2777042776","wikidata":"https://www.wikidata.org/wiki/Q4583103","display_name":"Preparedness","level":2,"score":0.448726087808609},{"id":"https://openalex.org/C160798450","wikidata":"https://www.wikidata.org/wiki/Q4230870","display_name":"Concordance","level":2,"score":0.417649507522583},{"id":"https://openalex.org/C107327155","wikidata":"https://www.wikidata.org/wiki/Q330268","display_name":"Decision support system","level":2,"score":0.3733857274055481},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3723676800727844},{"id":"https://openalex.org/C77088390","wikidata":"https://www.wikidata.org/wiki/Q8513","display_name":"Database","level":1,"score":0.23739272356033325},{"id":"https://openalex.org/C124101348","wikidata":"https://www.wikidata.org/wiki/Q172491","display_name":"Data mining","level":1,"score":0.2371198534965515},{"id":"https://openalex.org/C21547014","wikidata":"https://www.wikidata.org/wiki/Q1423657","display_name":"Operations management","level":1,"score":0.137563556432724},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.0},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C180747234","wikidata":"https://www.wikidata.org/wiki/Q23373","display_name":"Cognitive psychology","level":1,"score":0.0},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.0},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007362","descriptor_name":"Intensive Care Units","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D007362","descriptor_name":"Intensive Care Units","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D007362","descriptor_name":"Intensive Care Units","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D014584","descriptor_name":"User-Computer Interface","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014584","descriptor_name":"User-Computer Interface","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014584","descriptor_name":"User-Computer Interface","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017063","descriptor_name":"Outcome Assessment, Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017063","descriptor_name":"Outcome Assessment, Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017063","descriptor_name":"Outcome Assessment, Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057188","descriptor_name":"Workflow","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057188","descriptor_name":"Workflow","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057188","descriptor_name":"Workflow","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1055/s-0038-1667122","is_oa":true,"landing_page_url":"https://doi.org/10.1055/s-0038-1667122","pdf_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0038-1667122.pdf","source":{"id":"https://openalex.org/S187139995","display_name":"Applied Clinical Informatics","issn_l":"1869-0327","issn":["1869-0327"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied Clinical Informatics","raw_type":"journal-article"},{"id":"pmid:30068013","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/30068013","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied clinical informatics","raw_type":null},{"id":"pmh:oai:pubmedcentral.nih.gov:6070387","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6070387","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Appl Clin Inform","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1055/s-0038-1667122","is_oa":true,"landing_page_url":"https://doi.org/10.1055/s-0038-1667122","pdf_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0038-1667122.pdf","source":{"id":"https://openalex.org/S187139995","display_name":"Applied Clinical Informatics","issn_l":"1869-0327","issn":["1869-0327"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied Clinical Informatics","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320309099","display_name":"Children's Hospital of Philadelphia","ror":"https://ror.org/01z7r7q48"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2886309256.pdf","grobid_xml":"https://content.openalex.org/works/W2886309256.grobid-xml"},"referenced_works_count":35,"referenced_works":["https://openalex.org/W1961125951","https://openalex.org/W1969129400","https://openalex.org/W1997343664","https://openalex.org/W2000816991","https://openalex.org/W2011642287","https://openalex.org/W2019273180","https://openalex.org/W2022914868","https://openalex.org/W2032916871","https://openalex.org/W2043790207","https://openalex.org/W2049619602","https://openalex.org/W2069757512","https://openalex.org/W2078685944","https://openalex.org/W2080160302","https://openalex.org/W2084445380","https://openalex.org/W2086286411","https://openalex.org/W2088128768","https://openalex.org/W2088288886","https://openalex.org/W2093274439","https://openalex.org/W2097521453","https://openalex.org/W2113712374","https://openalex.org/W2127534241","https://openalex.org/W2133498992","https://openalex.org/W2151421141","https://openalex.org/W2157083748","https://openalex.org/W2166017842","https://openalex.org/W2169167455","https://openalex.org/W2169716101","https://openalex.org/W2210037073","https://openalex.org/W2333561512","https://openalex.org/W2340283802","https://openalex.org/W2548723212","https://openalex.org/W2551984837","https://openalex.org/W2568237233","https://openalex.org/W2793577799","https://openalex.org/W7075731051"],"related_works":["https://openalex.org/W2439147586","https://openalex.org/W2256153998","https://openalex.org/W2209084653","https://openalex.org/W1976813351","https://openalex.org/W2099117796","https://openalex.org/W2797470286","https://openalex.org/W2108778283","https://openalex.org/W3026022159","https://openalex.org/W2207748712","https://openalex.org/W3047500725"],"abstract_inverted_index":{"BACKGROUND":[0],"AND":[1,61],"OBJECTIVE:":[2],"Pediatric":[3],"in-hospital":[4],"cardiac":[5],"arrest":[6],"most":[7],"commonly":[8],"occurs":[9],"in":[10,54,106,118,150],"the":[11,33,55,99,119,128,210,232],"pediatric":[12],"intensive":[13],"care":[14],"unit":[15],"(PICU)":[16],"and":[17,35,73,76,115,152,187,213],"is":[18,238],"frequently":[19],"preceded":[20],"by":[21,70],"early":[22],"warning":[23],"signs":[24],"of":[25,37,127,175,191,205,215,226,231],"clinical":[26,49,74,80,168,236],"deterioration.":[27,227],"In":[28],"this":[29],"study,":[30],"we":[31],"describe":[32,209],"implementation":[34,214,242],"evaluation":[36,230],"criteria":[38],"to":[39,200,220],"identify":[40,221],"high-risk":[41],"patients":[42,164,223],"from":[43],"a":[44,48,132,144,179,202,216],"paper-based":[45,65],"checklist":[46],"into":[47,79],"decision":[50],"support":[51],"(CDS)":[52],"tool":[53,66,219],"electronic":[56],"health":[57],"record":[58],"(EHR).":[59],"MATERIALS":[60],"METHODS:":[62],"The":[63,156,170],"validated":[64],"was":[67,92,140,148,158],"first":[68],"adapted":[69],"PICU":[71,222],"clinicians":[72],"informaticians":[75],"then":[77],"integrated":[78],"workflow":[81],"following":[82],"best":[83],"practices":[84],"for":[85],"CDS":[86,129,218],"design.":[87],"A":[88],"vendor-based":[89],"rule":[90,130],"engine":[91],"utilized.":[93],"Littenberg's":[94],"assessment":[95],"framework":[96],"helped":[97],"guide":[98],"overall":[100],"evaluation.":[101],"Preliminary":[102],"testing":[103],"took":[104],"place":[105],"EHR":[107],"development":[108],"environments":[109],"with":[110],"more":[111],"rigorous":[112],"evaluation,":[113],"testing,":[114],"feedback":[116],"completed":[117],"live":[120],"production":[121],"environment.":[122],"To":[123],"verify":[124],"data":[125,138],"quality":[126],"engine,":[131],"retrospective":[133,173],"Structured":[134],"Query":[135],"Language":[136],"(SQL)":[137],"query":[139],"also":[141],"created.":[142],"As":[143],"process":[145],"metric,":[146],"preparedness":[147],"measured":[149],"pre-":[151],"postimplementation":[153],"surveys.":[154],"RESULTS:":[155],"system":[157],"deployed,":[159],"evaluating":[160],"approximately":[161],"340":[162],"unique":[163],"monthly":[165],"across":[166,197],"4":[167],"teams.":[169],"verification":[171],"against":[172],"SQL":[174],"15-minute":[176],"intervals":[177,186],"over":[178],"30-day":[180],"period":[181],"revealed":[182],"no":[183],"missing":[184],"triggered":[185],"demonstrated":[188],"99.3%":[189],"concordance":[190],"positive":[192],"triggers.":[193],"Preparedness":[194],"showed":[195],"improvements":[196],"multiple":[198],"domains":[199],"our":[201],"priori":[203],"goal":[204],"90%.":[206],"CONCLUSION:":[207],"We":[208],"successful":[211],"adaptation":[212],"real-time":[217],"at":[224],"risk":[225],"Prospective":[228],"multicenter":[229],"tool's":[233],"effectiveness":[234],"on":[235],"outcomes":[237],"necessary":[239],"before":[240],"broader":[241],"can":[243],"be":[244],"recommended.":[245]},"counts_by_year":[{"year":2026,"cited_by_count":3},{"year":2025,"cited_by_count":4},{"year":2024,"cited_by_count":3},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":3},{"year":2020,"cited_by_count":5},{"year":2019,"cited_by_count":3},{"year":2018,"cited_by_count":1}],"updated_date":"2026-04-29T09:16:38.111599","created_date":"2025-10-10T00:00:00"}