Skip to main content
SpringerLink
Log in

Patient Monitoring Systems

  • Chapter
  • First Online:
Book cover Biomedical Informatics

Abstract

After reading this chapter, you should be able to answer these questions

  1. 1.

    What is patient monitoring, and why is it used?

  2. 2.

    What patient parameters do bedside physiological monitors provide?

  3. 3.

    What are the major problems with acquisition and presentation of monitoring parameters?

  4. 4.

    In addition to bedside physiological parameters, what other information is fundamental to the care of acutely ill patients?

  5. 5.

    How are patient care protocols used to enhance the care of critically ill patients?

  6. 6.

    Why is real-time computerized decision support potentially more beneficial than monthly or quarterly quality of care reporting?

  7. 7.

    What technical and social factors must be considered when implementing real-time data acquisition and decision support systems?

This chapter is adapted from an earlier version in the third edition authored by Reed M. Gardner and M. Michael Shabot

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 74.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Aboukhalil, A., Nielsen, L., Saeed, M., Mark, R. G., & Clifford, G. D. (2008). Reducing false alarm rates for critical arrhythmias using the arterial blood pressure waveform. Journal of Biomedical Informatics, 41, 442–451. PMID 18440873.

    PubMed  Google Scholar 

  • Ahmed, A., Chandra, S., Herasevich, V., Gajic, O., & Pickering, B. W. (2011). The effect of two different electronic health record user interfaces on intensive care provider task load, errors of cognition, and performance. Critical Care Medicine, 39, 1626–1634. PMID 21478739.

    PubMed  Google Scholar 

  • Andrews, R. D., Gardner, R. M., Metcalf, S. M., & Simmons, D. (1985). Computer charting: An evaluation of a respiratory care computer system. Respiratory Care, 30, 695–707. PMID 10315682.

    PubMed  CAS  Google Scholar 

  • Blum, J. M., & Tremper, K. K. (2010). Alarms in the intensive care unit: too much of a good thing is dangerous: Is it time to add some intelligence to alarms? Critical Care Medicine, 33, 702–703. PMID 20083933.

    Google Scholar 

  • Bogun, F., Anh, D., Kalahasty, G., Wissner, E., Cou Serhal, C., Bazzi, R., Weaver, W. D., & Schuger, C. (2004). Misdiagnosis of atrial fibrillation and its clinical consequences. American Journal of Medicine, 117, 636–642. PMID 15501200.

    PubMed  Google Scholar 

  • Bradshaw, K. E., Gardner, R. M., Clemmer, T. P., Orme, J. F., Thomas, F., & West, B. J. (1984). Physician decision-making: Evaluation of data used in a computerized ICU. International Journal of Clinical Monitoring and Computing, 1(2), 81–91.

    PubMed  CAS  Google Scholar 

  • Bradshaw, K. E., Sittig, D. F., Gardner, R. M., Pryor, T. A., & Budd, M. (1989). Computer-based data entry for nurses in the ICU. MD Computing, 6(5), 274–280. PMID 2486506.

    PubMed  CAS  Google Scholar 

  • Braunwald, E. (1988). Evolution of the management of acute myocardial infarction: A 20th century saga. The Lancet, 352, 1771–1774. PMID 9848369.

    Google Scholar 

  • Breslow, M. J. (2007). Remote ICU care programs: Current status. Journal of Critical Care, 22(1), 66–76.

    PubMed  Google Scholar 

  • Burykin, A., Peck, T., & Buchman, T. G. (2011). Using “off-the-shelf” tools for a terabyte-scale waveform recording in intensive care: Computer system design, database description and lessons learned. Computer Methods and Programs in Biomedicine, 103, 151–160. PMID 21093093.

    PubMed  Google Scholar 

  • Callen, J., Georgiou, A., Li, J., & Westbrook, J. I. (2011). The safety implications of missed test results for hospitalized patients: A systematic review. BMJ Quality & Safety, 20, 194–199. PMID 21300992.

    Google Scholar 

  • Carayon, P., Cartmill, R., Blosky, M. A., Brown, R., Hackenberg, M., Hoonakker, P., Hundt, A. S., Norfolk, E., Wetterneck, T. B., & Walker, J. M. (2011). ICU nurses’ acceptance of electronic health records. Journal of the American Medical Informatics Association: JAMIA, 18(6), 812–819. PMID 21697291.

    PubMed  Google Scholar 

  • Celi, L. A., Hassan, E., Marquardt, C., Breslow, M., & Rosenfeld, B. (2001). The eICU: it’s not just telemedicine. Critical Care Medicine, 29(8 Suppl), N183–N189. PMID 11496041.

    PubMed  CAS  Google Scholar 

  • Chambrin, M. C. (2001). Alarms in the intensive care unit: how can the number of false alarms be reduced? Critical Care, 5, 184–188. PMID 11511330.

    PubMed  CAS  Google Scholar 

  • Chaudhry, B., Wang, J., Wu, S., Maglione, M., Mojica, W., Roth, E., Morton, S. C., et al. (2006). Systematic review: Impact of health information technology on quality, efficiency, and costs of medical care. Annals of Internal Medicine, 144(10), 742–752.

    PubMed  Google Scholar 

  • Chen, T., Clifford, G. D., & Mark, R. G. (2009). Computers in Cardiology, 36, 197–200. PMC2926988.

    CAS  Google Scholar 

  • Clark, A. P., Giuliano, K., & Chen, H. M. (2006). Pulse oximetry revisited “but His O2 was normal”. Clinical Nurssing Specialist CNS, 20, 268–272. PMID 17149014.

    Google Scholar 

  • Clark, E. N., Sejersten, M., Clemmensen, P., & MacFarland, P. W. (2010). Automated electrocardiogram interpretation programs versus cardiologists’ triage decision making based on teletransmitted data in patients with suspected acute coronary syndrome. The American Journal of Cardiology, 106, 1696–1702. PMID 21126612.

    PubMed  Google Scholar 

  • Classen, D. C., Pestotnik, S. L., Evans, R. S., & Burke, J. P. (1991). Computerized surveillance of adverse drug events in hospital patients. JAMA : The Journal of the American Medical Association, 266, 2847–2851. PMID 194452.

    CAS  Google Scholar 

  • Classen, D. C., Pestotnik, S. L., Evans, R. S., Lloyd, J. F., & Burke, J. P. (1997). Adverse drug events in hospitalized patients. Excess length of stay, extra costs, and attributable mortality. Journal of the American Medical Association, 277(4), 301–306.

    PubMed  CAS  Google Scholar 

  • Clemmer, T. P. (2004). Computers in the ICU: Where we started and where we are now. Journal of Critical Care, 19, 204–207. PMID 15648035.

    Google Scholar 

  • Clemmer, T. P., Spuhler, V. J., Berwick, D. M., & Nolan, T. W. (1998). Cooperation: The foundation of improvement. Annals of Internal Medicine, 128(12 Pt 1), 1004–1009. PMID 9625663.

    PubMed  CAS  Google Scholar 

  • Cobb, J. P., Suffredini, A. F., & Danner, R. L. (2008). The fourth national institutes of health symposium on the functional genomics of critical injury: Surviving stress from organ systems and molecules. Critical Care Medicine, 36, 2905–2911. PMID 18828200.

    PubMed  CAS  Google Scholar 

  • Collins, F. S. (2011). Reengineering translational science: The time is right. Science Translational Medicine, 3(90), 90cm17.

    PubMed  Google Scholar 

  • Cox, J., Jr. (1972). Digital analysis of the electroencephalogram, the blood pressure wave, and the electrocardiogram. Proceedings of the IEEE, 60, 1137.

    Google Scholar 

  • Crossley, G. H., Poole, J. E., Rozner, M. A., et al. (2011). The Heart Rhythm Society (HRS)/American Society of Anesthesiologists (ASA) Expert Consensus Statement on the Perioperative management Arrhythmia Monitors. Heart Rhythm, 8, 1114–1154. PMID 21722856.

    PubMed  Google Scholar 

  • Cundick, R. M., Jr., & Gardner, R. M. (1980). Clinical comparison of pressure-pulse and indicator-dilution cardiac output determination. Circulation, 62, 371–376. PMID 6994922.

    PubMed  Google Scholar 

  • Cushing, H. (1903). On routine determination of arterial tension in operating room and clinic. Boston Medical Surgical Journal, 148:250.Dalto 1997

    Google Scholar 

  • Dalto, J. S., Johnson, K. V., Gardner, R. M., Spuhler, V. J., & Egbert, L. (1997). Medical information bus usage for automated IV pump data acquisition: Evaluation of use and nurse attitudes. International Journal of Clinical Monitoring and Computing, 14, 151–154. PMID 9387004.

    PubMed  CAS  Google Scholar 

  • Deflandre, E., Bonhomme, V., & Hans, P. (2008). Delta down compared with delta pulse pressure as an indicator of volaemia during intracranial surgery. British Journal of Anaesthesia, 100, 245–250. PMID 18083787.

    PubMed  CAS  Google Scholar 

  • Doig, A. K., Drews, F. A., & Keefe, M. R. (2011). Informing the design of hemodynamic monitoring displays. Computers, Informatics, Nursing, 29(12), 706–713. PMID 21412150.

    PubMed  Google Scholar 

  • Drew, B. J., & Funk, M. (2006). Practice standards for ECG monitoring in hospital setting: Executive summary and guide for implementation. Critical Care Nursing Clinics of North America, 18(2), 157–168. PMID 16728301.

    PubMed  Google Scholar 

  • Drews, F. A., Musters, A., & Samore, M. H. (2008). Error producing conditions in intensive care unit. In Advances in patient safety: New directions and alternative approaches (Performance and tools, Vol. 3). Rockville: AHRQ. PMID 21249947.

    Google Scholar 

  • East, T. D., Bohm, S. H., Wallace, C. J., Clemmer, T. P., Weaver, L. K., Orme, J. F., Jr., & Morris, A. H. (1992). A successful computerized protocol for clinical management of pressure control inverse ration ventilation. Chest, 101(3), 697–710. Edworthy 2006.

    PubMed  CAS  Google Scholar 

  • Edworthy, J., & Hellier, E. (2006). Alarms and human behavior: Implications for medical alarms. British Journal of Anaesthesia, 97, 12–17. PMID 16698858.

    PubMed  CAS  Google Scholar 

  • Evans, R. S., Pestotnik, S. L., Classen, D. C., Clemmer, T. P., Weaver, L. K., Orme, J. F., Lloyd, J. F., & Burke, J. P. (1998). A computer-assisted management program for antibiotics and other antinfective agents. The New England Journal of Medicine, 338(4), 232–238.

    PubMed  CAS  Google Scholar 

  • Evans, R. S., Carlson, R., Johnson, K. V., Palmer, B. K., & Lloyd, J. F. (2010). Enhanced notification of infusion pump programming errors. Studies in Health Technology and Informatics, 160(Pt 1), 734–738. PMID 20841783.

    PubMed  Google Scholar 

  • Funk, M., Winkler, C. G., May, J. L., Stephens, K., Fennie, K. P., Rose, L. L., Turkman, Y. E., & Drew, B. J. (2010). Unnecessary arrhythmia monitoring and underutilization of ischemia and QT interval monitoring in current clinical practice: Baseline results of the practice Use of the latest standards for electrocardiography trial. Journal of Electrocardiology, 43, 542–547. PMID 20832819.

    PubMed  Google Scholar 

  • Gardner, R. M. (1996). Accuracy and reliability of disposable pressure transducers coupled with modern pressure monitors. Critical Care Medicine, 24, 879–882. PMID 8706469.

    PubMed  CAS  Google Scholar 

  • Gardner, R. M. (2004). Computerized clinical decision-support in respiratory care. Respiratory Care, 49, 378–386. PMID 15030611.

    PubMed  Google Scholar 

  • Gardner, R. M., & Beale, R. J. (2009). Pressure to perform: Is cardiac output estimation from arterial waveforms good enough for routine use? Critical Care Medicine, 37, 337–338. EDITORIAL PMID 19112291.

    PubMed  Google Scholar 

  • Gardner, R. M., & Lundsgaarde, H. P. (1994). Evaluation of user acceptance of a clinical expert system. Journal of the American Medical Informatics Association: JAMIA, 1(6), 428–438.

    PubMed  CAS  Google Scholar 

  • Gardner, R. M., Warner, H. R., Toronto, A. F., & Gaisford, W. D. (1970). Cather-flush system for continuous monitoring of central arterial pulse waveform. Journal of Applied Physiology, 29, 911–913. PMID 5485368.

    PubMed  CAS  Google Scholar 

  • Gardner, R. M., Tariq, H., Hawley, W. L., & East, T. D. (1989). Medical information bus: The key to future integrated monitoring. International Journal of Clinical Monitoring and Computing, 6, 197–204. PMID 2628508.

    Google Scholar 

  • Gardner, R. M., Hawley, W. H., East, T. D., Oniki, T., & Young, H. F. W. (1991). Real time data acquisition: Experience with the medical information bus (MIB). Proceedings of the Annual Symposium on Computer Applications in Medical Care, 15, 813–817. PMID 1807719.

    Google Scholar 

  • Gardner, R. M., Pryor, T. A., & Warner, H. R. (1999). The HELP system: Update 1998. International Journal of Medical Informatics, 54, 169–182. PMID 10405877.

    PubMed  CAS  Google Scholar 

  • Gardner, R. M., Overhage, J. M., Steen, E., Holmes, J. H., Williamson, J. J., Detmer, D. E., & AMIA Board of Directors. (2009). Core content for the subspecialty of clinical informatics. Journal of the American Medical Informatics Association: JAMIA, 16, 153–157. PMID 19074296.

    PubMed  Google Scholar 

  • Gorges, M., Markewitz, B. A., & Westenskow, D. R. (2009). Improving alarm performance in the medical intensive care unit using delays and clinical context. Anesthesia and Analgesia, 108, 1546–1552. PMID19372334.

    PubMed  Google Scholar 

  • Gregg, R. E., Zhou, S. H., Lindauer, J. M., Helfendbein, E. D., & Giuliano, K. K. (2008). What is inside the electrocardiograph? Journal of Electrocardiology, 41, 8–14. PMID 1819652.

    PubMed  Google Scholar 

  • Groves, R. H., Jr., Holcomb, B. W., Jr., & Smith, M. L. (2008). Intensive care telemedicine: Evaluating a model for proactive remote monitoring and intervention in the critical care setting. Studies in Health Technology and Informatics, 131, 131–146. PMID 18305328.

    PubMed  Google Scholar 

  • Gurses, A. P., & Xiao, Y. (2006). A systematic review of the literature on multidisciplinary rounds to design information systems. Journal of the American Medical Informatics Association: JAMIA, 13, 267–278. PMID 16501176.

    PubMed  Google Scholar 

  • Hassan, E., Badawi, O., Weber, R. J., & Cohen, H. (2010). Using technology to prevent adverse drug events in the intensive care unit. Critical Care Medicine, 38(6 Suppl), S97–S105. PMID 20502181.

    PubMed  Google Scholar 

  • Haupt, M. T., Bekes, C. E., Brilli, R. J., Carl, L. C., Gray, A. W., Jastremski, M. S., Naylor, D. F., & Wedel, S. K. (2003). Guidelines on critical care services and personnel: Recommendations based on a system of categorization of thee levels of care. Critical Care Medicine, 31, 2877–2883. PMID 14805541.

    Google Scholar 

  • Herasevich, V., Yilmaz, M., Khan, H., Hubmayr, R. D., & Gajic, O. (2009). Validation of an electronic surveillance system for acute lung injury. Intensive Care Medicine, 35, 1018–1023. PMID 19280175.

    PubMed  Google Scholar 

  • Herasevich, V., Pickering, B. W., Dong, Y., Peters, S. G., & Gajic, O. (2010). Informatics infrastructure for syndromic surveillance, decision support, reporting, and modeling of critical illness. Mayo Clinic Proceedings, 85, 247–254. PMID 21194152.

    PubMed  Google Scholar 

  • Herasevich, V., Afessa, B., & Pickering, B. W. (2011). Sepsis in critically ill patients with trauma. Critical Care Medicine, 39, 876–879. PMID 21613830.

    PubMed  Google Scholar 

  • Hripcsak, G., Vawdrey, D., Fred, M., & Bostwick, S. (2011). Use of electronic clinical documentation: Time spent and team interactions. Journal of the American Medical Informatics Association: JAMIA, 18(1), 112–117.

    PubMed  Google Scholar 

  • Imhoff, M., & Kuhls, S. (2006). Alarm algorithms in critical care monitoring. Anesthesia and Analgesia, 102, 1525–1537. PMID 16632837.

    PubMed  Google Scholar 

  • Jha, A. K., DesRoches, C. M., Campbell, E. G., Donelan, K., Rap, S. R., Ferris, T. G., Shields, A., Rosenbaum, S., & Blumenthal, D. (2009). Use of electronic health records in U.S. Hospitals. The New England Journal of Medicine, 360, 1628–1638. PMID 19321858.

    PubMed  CAS  Google Scholar 

  • Kahn, J. M. (2011a). The use and misuse of ICU telemedicine. Editorial JAMA, 305, 2176–2183. PMID 21576623.

    Google Scholar 

  • Kahn, S. D. (2011b). On the future of genomic data. Science, 331(6018), 728–729.

    PubMed  CAS  Google Scholar 

  • Karsh, B.-T., Weinger, M. B., Abbott, P. A., & Wears, R. L. (2010). Health information technology: Fallacies and sober realities. Journal of the American Medical Informatics Association: JAMIA, 17(6), 617–623.

    PubMed  Google Scholar 

  • Kelley, M. A., Angus, D., Chalfin, D. B., Crandall, E. D., Ingbar, D., Johanson, W., Medina, J., Sessler, C. N., & Vender, J. S. (2004). The critical care crisis in the united states: A report from the profession. Chest, 125, 1514–1517. PMID 15078767.

    PubMed  Google Scholar 

  • Kennelly, R. J., & Gardner, R. M. (1997). Perspectives on development of IEEE 1073: The medical information bus (MIB) standard. International Journal of Clinical Monitoring and Computing, 14(3), 143–149.

    PubMed  CAS  Google Scholar 

  • Keren, H., Burkhoff, D., & Squara, P. (2007). Evaluation of a non-invasive continuous cardiac output monitoring system based on thoracic bioreactance. American Journal of Physiology - Heart and Circulatory Physiology, 293, H583–H589. PMID 17384132.

    PubMed  CAS  Google Scholar 

  • Kouwenhoven, W. B., Jude, J. R., & Knickerbocker, G. G. (1960). Closed-chest cardiac massage. JAMA : The Journal of the American Medical Association, 173, 1064–1067. PMID 14411374.

    CAS  Google Scholar 

  • Kowalczyk, L. (2011). Patient alarms often unheard, unheeded. Boston Globe.

    Google Scholar 

  • Kuperman, G. J., Gardner, R. M., & Pryor, T. A. (1991). HELP: A dynamic hospital information system. New York: Springer.

    Google Scholar 

  • Lee, J. Y., Du, Y. E., Coki, O., Flynn, J. T., Starren, J., & Chiang, M. F. (2010). Parental perceptions toward digital imaging and telemedicine for retinopathy of prematurity management. Graefe's Archive for Clinical and Experimental Ophthalmology, 248, 141–147.

    PubMed  Google Scholar 

  • Li, Q., Mark, R. G., & Clifford, G. D. (2009). Artificial arterial blood pressure artifact models and an evaluation of a robust blood pressure and heart rate estimator. Biomedical Engineering Online, 8, 13. PMID 19586547.

    PubMed  CAS  Google Scholar 

  • Lilly, C. M., Cody, S., Zhao, H., et al. (2011). Hospital mortality, length of stay, and preventable complications among critically Ill patients before and after Tele-ICU reengineering of critical care processes. JAMA: The Journal of the American Medical Association, 305, 2175–2183.

    CAS  Google Scholar 

  • Lown, B., Amarasingham, R., & Neuman, J. (1962). New method for terminating cardiac arrhythmias. Use of synchronous capacitor discharge. JAMA: The Journal of the American Medical Association, 182, 548–555. PMID 12921298.

    CAS  Google Scholar 

  • Mathews, S. C., & Pronovost, P. J. (2011). The need for systems integration in health care. JAMA: The Journal of the American Medical Association, 305, 934–935. PMID 21364143.

    CAS  Google Scholar 

  • Morris, A. H. (2000). Developing and implementing computerized protocols for standardization of clinical decisions. Annals of Internal Medicine, 132, 373–383. PMID 10691588.

    PubMed  CAS  Google Scholar 

  • Morris, A. H. (2001). Rational use of computerized protocols in the intensive care unit. Critical Care, 5, 249–254. PMID 11737899.

    PubMed  CAS  Google Scholar 

  • Morris, A. H. (2003). Treatment algorithms and protocolized care. Current Opinion in Critical Care, 9, 236–240. PMID 12771677.

    PubMed  Google Scholar 

  • Mullett, C. J., Evans, R. S., Christenson, J. C., & Dean, J. M. (2001). Development and impact of a computerized pediatric antiinfective decision support program. Pediatrics, 108, 1–7. PMID 11581483.

    Google Scholar 

  • Nelson, N. C., Evans, R. S., Samore, M. H., & Gardner, R. M. (2005). Detection and prevention of medication errors using real-time nurse charting. Journal of the American Medical Informatics Association: JAMIA, 12, 390–397. PMID 15802486.

    PubMed  Google Scholar 

  • Oniki, T. A., Clemmer, T. P., & Pryor, T. A. (2003). The effect of computer-generated reminders on charting deficiencies in the ICU. Journal of the American Medical Informatics Association: JAMIA, 10, 177–187.

    PubMed  Google Scholar 

  • Patel, V. L., & Cohen, T. (2008). New perspectives on error in critical care. Current Opinion in Critical Care, 14(4), 456–459.

    PubMed  Google Scholar 

  • Patel, V. L., Zhang, J., Yoskowitz, N. A., Green, R., & Sayan, O. R. (2008). Translational cognition for decision support in critical care environments: A review. Journal of Biomedical Informatics, 41, 413–431.

    PubMed  Google Scholar 

  • Petratos, G. N., Kim, Y., Evans, R. S., & Gardner, R. M. (2010). Comparing the effectiveness of computerized adverse drug event monitoring systems to enhance clinical decision support for hospitalized patients. Applied Clinical Informatics, 1, 293–303.

    PubMed  CAS  Google Scholar 

  • Pickering, B. W., Herasevich, V., & Gajic, A. A. (2010). Novel representation of clinical information in the ICU – developing user interfaces which reduce information overload. Applied Clinical Informatics, 1, 116–131. PMID – NONE [Patent applied for!!].

    PubMed  CAS  Google Scholar 

  • Poon, K.B. (2005, May). Fusing multiple heart rate signals to reduce alarms in adult intensive care unit. Master of Science Thesis from Department of Medical Informatics, University of Utah.

    Google Scholar 

  • Pryor, T. A. (1989). Computerized nurse charting. International Joural of Clinical Monitoring and Computing, 6, 173–179. PMID 2592844.

    CAS  Google Scholar 

  • Pryor, T. A., Gardner, R. M., Clayton, P. D., & Warner, H. R. (1983). The HELP system. Journal of Medical Informatics, 7(2), 87–102.

    CAS  Google Scholar 

  • Rogers, W. J., Canto, J. G., Lambrew, C. T., Tiefenbrunn, A. J., Kinkaid, B., Shoultz, D. A., Frederick, P. D., & Every, N. (2000). Temporal trends in the treatment of over 1.5 million patients with myocardial infarction in the US from 1990 thru 1999: The National Registry of Myocardial Infarction 1, 2 and 3. Journal of the American College of Cardiology, 36, 2056–2063. PMID 11127441.

    PubMed  CAS  Google Scholar 

  • Rosenfeld, B. A., Dorman, T., Breslow, M. J., et al. (2000). Intensive care unit telemedicine: Alternate paradigm for providing continuous intensivist care. Critical Care Medicine, 28, 3925–3931.

    PubMed  CAS  Google Scholar 

  • Saeed, M., Villarroel, M., Reisner, A. T., Clifford, G., Lethman, L. W., Moody, G., Heldt, T., Kyaw TH Moody, B., & Mark, R. G. (2011). Multiparameter intelligent monitoring in intensive care II: A public-access intensive care unit database. Critical Care Medicine, 39, 952–960. PMID 21283005.

    PubMed  Google Scholar 

  • Safran, C., Shabot, M. M., Munger, B. S., Holmes, J. H., Steen, E. B., Lumpkin, J. R., & Detmer, D. E. (2009, March–April). AMIA board of directors. Program requirements for fellowship education in the subspecialty of clinical informatics. Journal of the American Medical Informatics Association: JAMIA, 16, 158–166. PMID 19074295.

    Google Scholar 

  • Shabot, M. M. (1995). Computers in the intensive care unit: Was pogo correct? Journal of Intensive Care Medicine, 10, 211–212.

    Google Scholar 

  • Shubin, H., & Weil, M. H. (1966). Efficient monitoring with a digital computer of cardiovascular function in seriously ill patients. Annals of Internal Medicine, 65(3), 453–460.

    PubMed  CAS  Google Scholar 

  • Siebig, S., Kuhls, S., Imhoff, M., Gather, U., Scholmerich, J., & Wrede, C. E. (2010). Intensive care unit alarms – how many do we need? Critical Care Medicine, 38, 451–456. PMID 20016379.

    PubMed  Google Scholar 

  • Sittig, D. F., Wright, A., Meltzer, S., Simonaitis, L., Evans, R. S., Nichol, W. P., Ash, J. S., & Middleton, B. (2011). Comparison of clinical knowledge management capabilities of commercially-available and leading internally-developed electronic health records. BMC Medical Informatics and Decision Making, 11, 13. PMID 21329520.

    PubMed  Google Scholar 

  • Sun, J. X., Reisner, A. T., Saeed, M., Heldt, T., & Mark, R. G. (2009). The cardiac output from pressure algorithms trial. Critical Care Medicine, 37, 72–80. PMID 19112280.

    PubMed  Google Scholar 

  • Tate, K.E., Gardner, R.M., & Scherting, K. (1995). Nurses, pagers, and patient-specific criteria: Three keys to improved critical value reporting. Proceedings of the Annual Symposium on Computer Applications in Medical Care, 154–8. PMID 8563258.

    Google Scholar 

  • Thompson, J. P., & Mahajan, R. P. (2006). Monitoring the monitors – beyond risk management. British Journal of Anaesthesia, 97, 1–3. PMID 16769701.

    PubMed  CAS  Google Scholar 

  • Vawdrey, D. K., Gardner, R. M., Evans, R. S., Orme, J. F., Jr., Clemmer, T. P., Greenway, L., & Drews, F. A. (2007). Assessing the data quality in manual data entry of ventilator settings. Journal of the American Medical Informatics Association: JAMIA, 14, 295–303. PMID 17329731.

    PubMed  Google Scholar 

  • Warner, H. R., Swan, H. J., Connolly, D. C., Tompkins, R. G., & Wood, E. H. (1953). Quantitation of beat-to-beat changes in stroke volume from the aortic pulse contour in man. Journal of Applied Physiology, 5, 495–507. PMID 13034677.

    PubMed  CAS  Google Scholar 

  • Warner, H. R., Gardner, R. M., & Toronto, A. F. (1968). Computer-based monitoring of cardiovascular function in postoperative patients. Circulation, 37(4 Suppl), II68–II74.

    PubMed  CAS  Google Scholar 

  • Weinfurt, P. T. (1990). Electrocardiographic monitoring: An overview. Journal of Clinical Monitoring, 6(2), 132–138.

    PubMed  CAS  Google Scholar 

  • Willson, D. (1994). Survey of nurse perception regarding the utilization of bedside computers. Proceedings of the Annual Symposium on Computer Applications in Medical Care, 553–557. PMID 7949989.

    Google Scholar 

  • Willson, D., Nelson, N. C., Rosebrock, B. J., Hujcs, M. T., Wilner, D. G., & Buxton, R. B. (1994). Using an integrated point of care system: A nursing perspective. Topics in Health Information Management, 14, 24–29. PMID 19134757.

    Google Scholar 

  • Wright, A., Sittig, D. F., Ash, J. S., Feblowitz, J., et al. (2011). Development and evaluation of comprehensive clinical decision support taxonomy: Comparison of front-end tools in commercial and internally developed electronic health records. Journal of the American Medical Informatics Association: JAMIA, 18, 232–242. PMID 21415065.

    PubMed  Google Scholar 

  • Zhang, Y., & Szolovitz, P. (2008). Patient-specific learning in real time for adaptive monitoring in critical care. Journal of Biomedical Informatics, 41, 452–460. PMID 18463000.

    PubMed  Google Scholar 

  • Zoll, P. M., Linethal, A. J., Gibson, W., Paul, M. H., & Norman, L. R. (1956). Termination of ventricular fibrillation in man by externally applied countershock. The New England Journal of Medicine, 254, 727–732. PMID 13309666.

    PubMed  CAS  Google Scholar 

  • Zong, W., Moody, G. B., & Mark, R. G. (2004). Reduction of false arterial blood pressure alarms using signal quality assessment and relationship between the electrocardiogram and arterial blood pressure. Medical & Biological Engineering & Computing, 42, 698–706. PMID 15503972.

    CAS  Google Scholar 

  • American Society of Anesthesiologist (ASA).(2010). Standards for basic anesthetic monitoring. Last amended on October 20, 2010

    Google Scholar 

  • Guglin ME, Thatai D. Common errors in computer electrocardiogram interpretation. Int J Cardiol 2006;106:232-7. PMID 16321696

    PubMed  Google Scholar 

  • Evans RS, Johnson KV, Flint VB, Kinder T, Lyon CR, Hawley WL, Vawdrey DK, Thomsen GE. Enhanced notification of critical ventilator events. J Am Med Inform Assoc 2005;12:589–95. PMID 16049226

    PubMed  Google Scholar 

  • Lee, J., & Mark, R. G. (2010). An investigation of patterns in hemodynamic data indicative of impending hypotension in intensive care. Biomedical Engineering, 9, 62. PMID 20973998.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Informatics, University of Utah, Biomedical Informatics, 1745 Cornell Circle, Salt Lake City, UT, 84108, USA

    Reed M. Gardner PhD

  2. Pulmonary – Critical Care Medicine, LDS Hospital, Intermountain Healthcare, 8th Avenue and “C” Street, Salt Lake City, UT, 84143, USA

    Terry P. Clemmer MD

  3. Medical Informatics Department, LDS Hospital, Intermountain Healthcare, 8th Ave and C Street, Salt Lake City, UT, 84143, USA

    R. Scott Evans BS, MS, PhD

  4. Department of Electrical Engineering and Computer Science (EECS), Institute of Medical Engineering and Science, Massachusetts Institute of Technology, Room E25-505, Cambridge, MA, 02139, USA

    Roger G. Mark MD, PhD

Authors
  1. Reed M. Gardner PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Terry P. Clemmer MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. R. Scott Evans BS, MS, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Roger G. Mark MD, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Reed M. Gardner PhD .

Editor information

Editors and Affiliations

  1. Departments of Biomedical Informatics at Columbia University and Arizona State University, New York, New York, USA

    Edward H. Shortliffe

  2. Bethesda, Maryland, USA

    James J. Cimino

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer-Verlag London

About this chapter

Cite this chapter

Gardner, R.M., Clemmer, T.P., Evans, R.S., Mark, R.G. (2014). Patient Monitoring Systems. In: Shortliffe, E., Cimino, J. (eds) Biomedical Informatics. Springer, London. https://doi.org/10.1007/978-1-4471-4474-8_19

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-4474-8_19

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4473-1

  • Online ISBN: 978-1-4471-4474-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation