Standard Solutions for Complex Settings: The Idiosyncrasies of a Weaning Protocol Use in Practice

  • Sahiti Myneni
  • Trevor Cohen
  • Khalid F. Almoosa
  • Vimla L. Patel
Part of the Health Informatics book series (HI)


Patient safety efforts in health domain are oftentimes compared with other safety-critical and high-reliability domains including aviation, banking, and nuclear plants. In these industries, standardization of practices is seen as a viable strategy to mitigate error and improve safety [1]. Along similar lines, extensive efforts were made in medical domain to engineer high-safety processes by standardizing care delivery procedures and reducing practice variation. While standardization of procedures is based on the best scientific evidence available for a particular clinical problem at hand, it is also supposed to allow for practice of individual medicine to address patient-specific issues. Studies examining the impact of standardization reported improvements in quality of care – better clinical outcomes and reductions in infection transmissions. At the same time, standardization has also been shown to reduce healthcare expenditures [2].


Clinical Decision Support Respiratory Therapist Medical Intensive Care Unit Clinical Decision Support System Health Information Technology 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag London 2014

Authors and Affiliations

  • Sahiti Myneni
    • 1
  • Trevor Cohen
    • 2
  • Khalid F. Almoosa
    • 2
    • 3
  • Vimla L. Patel
    • 4
    • 5
    • 6
  1. 1.School of Biomedical InformaticsUniversity of Texas Health Science CenterHoustonUSA
  2. 2.University of Texas Health Science CenterHoustonUSA
  3. 3.Transplant Surgery ICUMemorial Hermann Hospital, Texas Medical CenterHoustonUSA
  4. 4.Center for Cognitive Studies in Medicine and Public Health, New York Academy of MedicineNew YorkUSA
  5. 5.Department of Biomedical InformaticsColumbia UniversityNew YorkUSA
  6. 6.Department of Biomedical InformaticsArizona State UniversityScottsdaleUSA

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