By Terry P. Clemmer, Reed M. Gardner, M. Michael Shabot (auth.), M. Michael Shabot M.D., Reed M. Gardner Ph.D. (eds.)
Modern severe care is characterised by way of the gathering of enormous volumes of information and the making of pressing sufferer care judgements. the 2 don't unavoidably pass jointly simply. for a few years the wish has been that ICU facts administration platforms may play a significant function in ICU choice help. those hopes now have a foundation actually, and this publication info the historical past, technique, present prestige, and destiny customers for serious care selection help platforms. by means of targeting actual and operational platforms, the publication demonstrates the significance of integrating info from various scientific facts assets; the keys to imposing clinically usable platforms; the pitfalls to prevent in implementation; and the advance of potent review methods.
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Extra resources for Decision Support Systems in Critical Care
Timely feedback to physicians of potentially dangerous situations such as metabolic acidosis, when coupled with suggestions on how to proceed with the patient evaluation and therapy, has been demonstrated to reduce the time the patient remains acidotic and to improve outcome . Similar to the alerting system, real-time quality assurance reports can be used to improve the quality and cost of care. Most hospitals in the United States do quality assurance by defining criteria for quality and then determining compliance with a random chart review.
Looking to the future, the entire in-patient service of acute care hospitals is emerging as one very large critical care service. If computers, in fact, would improve the efficiency of operation for this subset of patients, it would be likely to have a disproportionate effect on the costs of hospital operation [23,24]. In the light of these incentives, we will address the historical development of computers at the bedside and the extent to which these anticipated benefits have been realized. We will also review some of the historical development of the hardware and the software in relationship to both general and specific applications to bedside management.
A team spirit must exist so that the complex interactions that have been worked out over decades with manual methods can be implemented with computers. Cost of implementation must take into consideration not only the hardware and software costs, but the "peopleware" costs of training users, educating users as to the system benefits, and evaluating those benefits. Over time, the computer system may provide new and better ways of accomplishing patient care tasks that differ from the previous, manual methods.
Decision Support Systems in Critical Care by Terry P. Clemmer, Reed M. Gardner, M. Michael Shabot (auth.), M. Michael Shabot M.D., Reed M. Gardner Ph.D. (eds.)