The implementation of clinician designed, human-centered electronic medical record viewer in the intensive care unit: a pilot step-wedge cluster randomized trial

AWARE (Ambient Warning and Response Evaluation) is a novel electronic medical record (EMR) dashboard designed by clinicians to support bedside clinical information management in the ICU. AWARE sits on top of pre-existing, comprehensive EMR systems. The purpose of the study was to test the acceptance...
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Autor*in:	Pickering, Brian W [verfasserIn] Dong, Yue Ahmed, Adil Giri, Jyothsna Kilickaya, Oguz Gupta, Ashish Gajic, Ognjen Herasevich, Vitaly

Format:	Artikel
Sprache:	Englisch

Erschienen:	2015

Rechteinformationen:	Nutzungsrecht: Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

Schlagwörter:	Meaningful Use - statistics & numerical data Intensive Care Units - statistics & numerical data Workload - statistics & numerical data Electronic Health Records - statistics & numerical data Data Mining - statistics & numerical data Data Mining - methods

Übergeordnetes Werk:	Enthalten in: International journal of medical informatics - Amsterdam [u.a.] : Elsevier, 1997, 84(2015), 5, Seite 299
Übergeordnetes Werk:	volume:84 ; year:2015 ; number:5 ; pages:299

Links:	Volltext Link aufrufen

DOI / URN:	10.1016/j.ijmedinf.2015.01.017

Katalog-ID:	OLC1962785874

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540			\|a Nutzungsrecht: Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.
650		4	\|a Meaningful Use - statistics & numerical data
650		4	\|a Intensive Care Units - statistics & numerical data
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650		4	\|a Data Mining - statistics & numerical data
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700	1		\|a Gupta, Ashish \|4 oth
700	1		\|a Gajic, Ognjen \|4 oth
700	1		\|a Herasevich, Vitaly \|4 oth
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allfields	10.1016/j.ijmedinf.2015.01.017 doi PQ20160617 (DE-627)OLC1962785874 (DE-599)GBVOLC1962785874 (PRQ)c1301-302fc0c8c90188502eeac02b7029031e3ec580b2c5394cd0c9c5b078c33735160 (KEY)0008895120150000084000500299implementationofcliniciandesignedhumancenteredelec DE-627 ger DE-627 rakwb eng 610 004 DNB Pickering, Brian W verfasserin aut The implementation of clinician designed, human-centered electronic medical record viewer in the intensive care unit: a pilot step-wedge cluster randomized trial 2015 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc rdacarrier AWARE (Ambient Warning and Response Evaluation) is a novel electronic medical record (EMR) dashboard designed by clinicians to support bedside clinical information management in the ICU. AWARE sits on top of pre-existing, comprehensive EMR systems. The purpose of the study was to test the acceptance and impact of AWARE on data management in live clinical ICU settings. The primary outcome measure was observed efficiency of data utilization as determined by time spent in data gathering before morning rounds. Step wedge cluster randomization trial. Four ICUs (surgical, medical, and mixed) at an academic referral center. All members of the critical care team participating in morning ICU rounds. Pilot implementation of a novel EMR interface with direct observation and survey. The study took place between April and July 2012. A total of 80 and 63 direct observations were made in the pre- and post-implementation study periods respectively. The time spent on pre-round data gathering per patient decreased from 12 (10-15) to 9 (7.3-11) min for pre- and post-implementation phases respectively (p=0.03). Compared to the existing EMR, information management (data presentation format, efficiency of data access) was reported to be better after AWARE implementation. AWARE made the task of gathering data for rounds significantly less difficult and mentally demanding. The introduction of a novel, patient-centered EMR viewer for the ICU was associated with improved efficiency and ease of clinical data management compared to the standard EMR. Nutzungsrecht: Copyright © 2015 Elsevier Ireland Ltd. All rights reserved. Meaningful Use - statistics & numerical data Intensive Care Units - statistics & numerical data Workload - statistics & numerical data Electronic Health Records - statistics & numerical data Data Mining - statistics & numerical data Data Mining - methods Dong, Yue oth Ahmed, Adil oth Giri, Jyothsna oth Kilickaya, Oguz oth Gupta, Ashish oth Gajic, Ognjen oth Herasevich, Vitaly oth Enthalten in International journal of medical informatics Amsterdam [u.a.] : Elsevier, 1997 84(2015), 5, Seite 299 (DE-627)227516966 (DE-600)1380381-5 (DE-576)059351985 1386-5056 nnns volume:84 year:2015 number:5 pages:299 http://dx.doi.org/10.1016/j.ijmedinf.2015.01.017 Volltext http://www.ncbi.nlm.nih.gov/pubmed/25683227 GBV_USEFLAG_A SYSFLAG_A GBV_OLC SSG-OLC-MAT SSG-OLC-PHA SSG-OLC-DE-84 SSG-OPC-MAT GBV_ILN_70 GBV_ILN_4012 GBV_ILN_4112 AR 84 2015 5 299
spelling	10.1016/j.ijmedinf.2015.01.017 doi PQ20160617 (DE-627)OLC1962785874 (DE-599)GBVOLC1962785874 (PRQ)c1301-302fc0c8c90188502eeac02b7029031e3ec580b2c5394cd0c9c5b078c33735160 (KEY)0008895120150000084000500299implementationofcliniciandesignedhumancenteredelec DE-627 ger DE-627 rakwb eng 610 004 DNB Pickering, Brian W verfasserin aut The implementation of clinician designed, human-centered electronic medical record viewer in the intensive care unit: a pilot step-wedge cluster randomized trial 2015 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc rdacarrier AWARE (Ambient Warning and Response Evaluation) is a novel electronic medical record (EMR) dashboard designed by clinicians to support bedside clinical information management in the ICU. AWARE sits on top of pre-existing, comprehensive EMR systems. The purpose of the study was to test the acceptance and impact of AWARE on data management in live clinical ICU settings. The primary outcome measure was observed efficiency of data utilization as determined by time spent in data gathering before morning rounds. Step wedge cluster randomization trial. Four ICUs (surgical, medical, and mixed) at an academic referral center. All members of the critical care team participating in morning ICU rounds. Pilot implementation of a novel EMR interface with direct observation and survey. The study took place between April and July 2012. A total of 80 and 63 direct observations were made in the pre- and post-implementation study periods respectively. The time spent on pre-round data gathering per patient decreased from 12 (10-15) to 9 (7.3-11) min for pre- and post-implementation phases respectively (p=0.03). Compared to the existing EMR, information management (data presentation format, efficiency of data access) was reported to be better after AWARE implementation. AWARE made the task of gathering data for rounds significantly less difficult and mentally demanding. The introduction of a novel, patient-centered EMR viewer for the ICU was associated with improved efficiency and ease of clinical data management compared to the standard EMR. Nutzungsrecht: Copyright © 2015 Elsevier Ireland Ltd. All rights reserved. Meaningful Use - statistics & numerical data Intensive Care Units - statistics & numerical data Workload - statistics & numerical data Electronic Health Records - statistics & numerical data Data Mining - statistics & numerical data Data Mining - methods Dong, Yue oth Ahmed, Adil oth Giri, Jyothsna oth Kilickaya, Oguz oth Gupta, Ashish oth Gajic, Ognjen oth Herasevich, Vitaly oth Enthalten in International journal of medical informatics Amsterdam [u.a.] : Elsevier, 1997 84(2015), 5, Seite 299 (DE-627)227516966 (DE-600)1380381-5 (DE-576)059351985 1386-5056 nnns volume:84 year:2015 number:5 pages:299 http://dx.doi.org/10.1016/j.ijmedinf.2015.01.017 Volltext http://www.ncbi.nlm.nih.gov/pubmed/25683227 GBV_USEFLAG_A SYSFLAG_A GBV_OLC SSG-OLC-MAT SSG-OLC-PHA SSG-OLC-DE-84 SSG-OPC-MAT GBV_ILN_70 GBV_ILN_4012 GBV_ILN_4112 AR 84 2015 5 299
allfields_unstemmed	10.1016/j.ijmedinf.2015.01.017 doi PQ20160617 (DE-627)OLC1962785874 (DE-599)GBVOLC1962785874 (PRQ)c1301-302fc0c8c90188502eeac02b7029031e3ec580b2c5394cd0c9c5b078c33735160 (KEY)0008895120150000084000500299implementationofcliniciandesignedhumancenteredelec DE-627 ger DE-627 rakwb eng 610 004 DNB Pickering, Brian W verfasserin aut The implementation of clinician designed, human-centered electronic medical record viewer in the intensive care unit: a pilot step-wedge cluster randomized trial 2015 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc rdacarrier AWARE (Ambient Warning and Response Evaluation) is a novel electronic medical record (EMR) dashboard designed by clinicians to support bedside clinical information management in the ICU. AWARE sits on top of pre-existing, comprehensive EMR systems. The purpose of the study was to test the acceptance and impact of AWARE on data management in live clinical ICU settings. The primary outcome measure was observed efficiency of data utilization as determined by time spent in data gathering before morning rounds. Step wedge cluster randomization trial. Four ICUs (surgical, medical, and mixed) at an academic referral center. All members of the critical care team participating in morning ICU rounds. Pilot implementation of a novel EMR interface with direct observation and survey. The study took place between April and July 2012. A total of 80 and 63 direct observations were made in the pre- and post-implementation study periods respectively. The time spent on pre-round data gathering per patient decreased from 12 (10-15) to 9 (7.3-11) min for pre- and post-implementation phases respectively (p=0.03). Compared to the existing EMR, information management (data presentation format, efficiency of data access) was reported to be better after AWARE implementation. AWARE made the task of gathering data for rounds significantly less difficult and mentally demanding. The introduction of a novel, patient-centered EMR viewer for the ICU was associated with improved efficiency and ease of clinical data management compared to the standard EMR. Nutzungsrecht: Copyright © 2015 Elsevier Ireland Ltd. All rights reserved. Meaningful Use - statistics & numerical data Intensive Care Units - statistics & numerical data Workload - statistics & numerical data Electronic Health Records - statistics & numerical data Data Mining - statistics & numerical data Data Mining - methods Dong, Yue oth Ahmed, Adil oth Giri, Jyothsna oth Kilickaya, Oguz oth Gupta, Ashish oth Gajic, Ognjen oth Herasevich, Vitaly oth Enthalten in International journal of medical informatics Amsterdam [u.a.] : Elsevier, 1997 84(2015), 5, Seite 299 (DE-627)227516966 (DE-600)1380381-5 (DE-576)059351985 1386-5056 nnns volume:84 year:2015 number:5 pages:299 http://dx.doi.org/10.1016/j.ijmedinf.2015.01.017 Volltext http://www.ncbi.nlm.nih.gov/pubmed/25683227 GBV_USEFLAG_A SYSFLAG_A GBV_OLC SSG-OLC-MAT SSG-OLC-PHA SSG-OLC-DE-84 SSG-OPC-MAT GBV_ILN_70 GBV_ILN_4012 GBV_ILN_4112 AR 84 2015 5 299
allfieldsGer	10.1016/j.ijmedinf.2015.01.017 doi PQ20160617 (DE-627)OLC1962785874 (DE-599)GBVOLC1962785874 (PRQ)c1301-302fc0c8c90188502eeac02b7029031e3ec580b2c5394cd0c9c5b078c33735160 (KEY)0008895120150000084000500299implementationofcliniciandesignedhumancenteredelec DE-627 ger DE-627 rakwb eng 610 004 DNB Pickering, Brian W verfasserin aut The implementation of clinician designed, human-centered electronic medical record viewer in the intensive care unit: a pilot step-wedge cluster randomized trial 2015 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc rdacarrier AWARE (Ambient Warning and Response Evaluation) is a novel electronic medical record (EMR) dashboard designed by clinicians to support bedside clinical information management in the ICU. AWARE sits on top of pre-existing, comprehensive EMR systems. The purpose of the study was to test the acceptance and impact of AWARE on data management in live clinical ICU settings. The primary outcome measure was observed efficiency of data utilization as determined by time spent in data gathering before morning rounds. Step wedge cluster randomization trial. Four ICUs (surgical, medical, and mixed) at an academic referral center. All members of the critical care team participating in morning ICU rounds. Pilot implementation of a novel EMR interface with direct observation and survey. The study took place between April and July 2012. A total of 80 and 63 direct observations were made in the pre- and post-implementation study periods respectively. The time spent on pre-round data gathering per patient decreased from 12 (10-15) to 9 (7.3-11) min for pre- and post-implementation phases respectively (p=0.03). Compared to the existing EMR, information management (data presentation format, efficiency of data access) was reported to be better after AWARE implementation. AWARE made the task of gathering data for rounds significantly less difficult and mentally demanding. The introduction of a novel, patient-centered EMR viewer for the ICU was associated with improved efficiency and ease of clinical data management compared to the standard EMR. Nutzungsrecht: Copyright © 2015 Elsevier Ireland Ltd. All rights reserved. Meaningful Use - statistics & numerical data Intensive Care Units - statistics & numerical data Workload - statistics & numerical data Electronic Health Records - statistics & numerical data Data Mining - statistics & numerical data Data Mining - methods Dong, Yue oth Ahmed, Adil oth Giri, Jyothsna oth Kilickaya, Oguz oth Gupta, Ashish oth Gajic, Ognjen oth Herasevich, Vitaly oth Enthalten in International journal of medical informatics Amsterdam [u.a.] : Elsevier, 1997 84(2015), 5, Seite 299 (DE-627)227516966 (DE-600)1380381-5 (DE-576)059351985 1386-5056 nnns volume:84 year:2015 number:5 pages:299 http://dx.doi.org/10.1016/j.ijmedinf.2015.01.017 Volltext http://www.ncbi.nlm.nih.gov/pubmed/25683227 GBV_USEFLAG_A SYSFLAG_A GBV_OLC SSG-OLC-MAT SSG-OLC-PHA SSG-OLC-DE-84 SSG-OPC-MAT GBV_ILN_70 GBV_ILN_4012 GBV_ILN_4112 AR 84 2015 5 299
allfieldsSound	10.1016/j.ijmedinf.2015.01.017 doi PQ20160617 (DE-627)OLC1962785874 (DE-599)GBVOLC1962785874 (PRQ)c1301-302fc0c8c90188502eeac02b7029031e3ec580b2c5394cd0c9c5b078c33735160 (KEY)0008895120150000084000500299implementationofcliniciandesignedhumancenteredelec DE-627 ger DE-627 rakwb eng 610 004 DNB Pickering, Brian W verfasserin aut The implementation of clinician designed, human-centered electronic medical record viewer in the intensive care unit: a pilot step-wedge cluster randomized trial 2015 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc rdacarrier AWARE (Ambient Warning and Response Evaluation) is a novel electronic medical record (EMR) dashboard designed by clinicians to support bedside clinical information management in the ICU. AWARE sits on top of pre-existing, comprehensive EMR systems. The purpose of the study was to test the acceptance and impact of AWARE on data management in live clinical ICU settings. The primary outcome measure was observed efficiency of data utilization as determined by time spent in data gathering before morning rounds. Step wedge cluster randomization trial. Four ICUs (surgical, medical, and mixed) at an academic referral center. All members of the critical care team participating in morning ICU rounds. Pilot implementation of a novel EMR interface with direct observation and survey. The study took place between April and July 2012. A total of 80 and 63 direct observations were made in the pre- and post-implementation study periods respectively. The time spent on pre-round data gathering per patient decreased from 12 (10-15) to 9 (7.3-11) min for pre- and post-implementation phases respectively (p=0.03). Compared to the existing EMR, information management (data presentation format, efficiency of data access) was reported to be better after AWARE implementation. AWARE made the task of gathering data for rounds significantly less difficult and mentally demanding. The introduction of a novel, patient-centered EMR viewer for the ICU was associated with improved efficiency and ease of clinical data management compared to the standard EMR. Nutzungsrecht: Copyright © 2015 Elsevier Ireland Ltd. All rights reserved. Meaningful Use - statistics & numerical data Intensive Care Units - statistics & numerical data Workload - statistics & numerical data Electronic Health Records - statistics & numerical data Data Mining - statistics & numerical data Data Mining - methods Dong, Yue oth Ahmed, Adil oth Giri, Jyothsna oth Kilickaya, Oguz oth Gupta, Ashish oth Gajic, Ognjen oth Herasevich, Vitaly oth Enthalten in International journal of medical informatics Amsterdam [u.a.] : Elsevier, 1997 84(2015), 5, Seite 299 (DE-627)227516966 (DE-600)1380381-5 (DE-576)059351985 1386-5056 nnns volume:84 year:2015 number:5 pages:299 http://dx.doi.org/10.1016/j.ijmedinf.2015.01.017 Volltext http://www.ncbi.nlm.nih.gov/pubmed/25683227 GBV_USEFLAG_A SYSFLAG_A GBV_OLC SSG-OLC-MAT SSG-OLC-PHA SSG-OLC-DE-84 SSG-OPC-MAT GBV_ILN_70 GBV_ILN_4012 GBV_ILN_4112 AR 84 2015 5 299
language	English
source	Enthalten in International journal of medical informatics 84(2015), 5, Seite 299 volume:84 year:2015 number:5 pages:299
sourceStr	Enthalten in International journal of medical informatics 84(2015), 5, Seite 299 volume:84 year:2015 number:5 pages:299
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topic_facet	Meaningful Use - statistics & numerical data Intensive Care Units - statistics & numerical data Workload - statistics & numerical data Electronic Health Records - statistics & numerical data Data Mining - statistics & numerical data Data Mining - methods
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authorswithroles_txt_mv	Pickering, Brian W @@aut@@ Dong, Yue @@oth@@ Ahmed, Adil @@oth@@ Giri, Jyothsna @@oth@@ Kilickaya, Oguz @@oth@@ Gupta, Ashish @@oth@@ Gajic, Ognjen @@oth@@ Herasevich, Vitaly @@oth@@
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author	Pickering, Brian W
spellingShingle	Pickering, Brian W ddc 610 misc Meaningful Use - statistics & numerical data misc Intensive Care Units - statistics & numerical data misc Workload - statistics & numerical data misc Electronic Health Records - statistics & numerical data misc Data Mining - statistics & numerical data misc Data Mining - methods The implementation of clinician designed, human-centered electronic medical record viewer in the intensive care unit: a pilot step-wedge cluster randomized trial
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topic_title	610 004 DNB The implementation of clinician designed, human-centered electronic medical record viewer in the intensive care unit: a pilot step-wedge cluster randomized trial Meaningful Use - statistics & numerical data Intensive Care Units - statistics & numerical data Workload - statistics & numerical data Electronic Health Records - statistics & numerical data Data Mining - statistics & numerical data Data Mining - methods
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title	The implementation of clinician designed, human-centered electronic medical record viewer in the intensive care unit: a pilot step-wedge cluster randomized trial
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title_full	The implementation of clinician designed, human-centered electronic medical record viewer in the intensive care unit: a pilot step-wedge cluster randomized trial
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title_sort	implementation of clinician designed, human-centered electronic medical record viewer in the intensive care unit: a pilot step-wedge cluster randomized trial
title_auth	The implementation of clinician designed, human-centered electronic medical record viewer in the intensive care unit: a pilot step-wedge cluster randomized trial
abstract	AWARE (Ambient Warning and Response Evaluation) is a novel electronic medical record (EMR) dashboard designed by clinicians to support bedside clinical information management in the ICU. AWARE sits on top of pre-existing, comprehensive EMR systems. The purpose of the study was to test the acceptance and impact of AWARE on data management in live clinical ICU settings. The primary outcome measure was observed efficiency of data utilization as determined by time spent in data gathering before morning rounds. Step wedge cluster randomization trial. Four ICUs (surgical, medical, and mixed) at an academic referral center. All members of the critical care team participating in morning ICU rounds. Pilot implementation of a novel EMR interface with direct observation and survey. The study took place between April and July 2012. A total of 80 and 63 direct observations were made in the pre- and post-implementation study periods respectively. The time spent on pre-round data gathering per patient decreased from 12 (10-15) to 9 (7.3-11) min for pre- and post-implementation phases respectively (p=0.03). Compared to the existing EMR, information management (data presentation format, efficiency of data access) was reported to be better after AWARE implementation. AWARE made the task of gathering data for rounds significantly less difficult and mentally demanding. The introduction of a novel, patient-centered EMR viewer for the ICU was associated with improved efficiency and ease of clinical data management compared to the standard EMR.
abstractGer	AWARE (Ambient Warning and Response Evaluation) is a novel electronic medical record (EMR) dashboard designed by clinicians to support bedside clinical information management in the ICU. AWARE sits on top of pre-existing, comprehensive EMR systems. The purpose of the study was to test the acceptance and impact of AWARE on data management in live clinical ICU settings. The primary outcome measure was observed efficiency of data utilization as determined by time spent in data gathering before morning rounds. Step wedge cluster randomization trial. Four ICUs (surgical, medical, and mixed) at an academic referral center. All members of the critical care team participating in morning ICU rounds. Pilot implementation of a novel EMR interface with direct observation and survey. The study took place between April and July 2012. A total of 80 and 63 direct observations were made in the pre- and post-implementation study periods respectively. The time spent on pre-round data gathering per patient decreased from 12 (10-15) to 9 (7.3-11) min for pre- and post-implementation phases respectively (p=0.03). Compared to the existing EMR, information management (data presentation format, efficiency of data access) was reported to be better after AWARE implementation. AWARE made the task of gathering data for rounds significantly less difficult and mentally demanding. The introduction of a novel, patient-centered EMR viewer for the ICU was associated with improved efficiency and ease of clinical data management compared to the standard EMR.
abstract_unstemmed	AWARE (Ambient Warning and Response Evaluation) is a novel electronic medical record (EMR) dashboard designed by clinicians to support bedside clinical information management in the ICU. AWARE sits on top of pre-existing, comprehensive EMR systems. The purpose of the study was to test the acceptance and impact of AWARE on data management in live clinical ICU settings. The primary outcome measure was observed efficiency of data utilization as determined by time spent in data gathering before morning rounds. Step wedge cluster randomization trial. Four ICUs (surgical, medical, and mixed) at an academic referral center. All members of the critical care team participating in morning ICU rounds. Pilot implementation of a novel EMR interface with direct observation and survey. The study took place between April and July 2012. A total of 80 and 63 direct observations were made in the pre- and post-implementation study periods respectively. The time spent on pre-round data gathering per patient decreased from 12 (10-15) to 9 (7.3-11) min for pre- and post-implementation phases respectively (p=0.03). Compared to the existing EMR, information management (data presentation format, efficiency of data access) was reported to be better after AWARE implementation. AWARE made the task of gathering data for rounds significantly less difficult and mentally demanding. The introduction of a novel, patient-centered EMR viewer for the ICU was associated with improved efficiency and ease of clinical data management compared to the standard EMR.
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container_issue	5
title_short	The implementation of clinician designed, human-centered electronic medical record viewer in the intensive care unit: a pilot step-wedge cluster randomized trial
url	http://dx.doi.org/10.1016/j.ijmedinf.2015.01.017 http://www.ncbi.nlm.nih.gov/pubmed/25683227
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author2	Dong, Yue Ahmed, Adil Giri, Jyothsna Kilickaya, Oguz Gupta, Ashish Gajic, Ognjen Herasevich, Vitaly
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up_date	2024-07-04T04:18:49.654Z
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