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Decision Support Systems in Critical Care pp 343–353Cite as

A Strategy for Development of Computerized Critical Care Decision Support Systems

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Abstract

It is not enough merely to manage medical information. It is difficult to justify the cost of hospital information systems (HIS) or intensive care unit (ICU) patient data management systems (PDMS) on this basis alone. The real benefit of an integrated HIS or PDMS is in decision support. We recently went to the bedside of a critically ill patient and counted the current information categories (not repeated measures) that were reviewed for physician decision-making. The total was in excess of 236! Dr. Eddy summarized it best: ‘It is simply unrealistic to think that individuals can synthesize in their head scores of pieces of evidence, accurately estimate the outcomes of different options, and accurately judge the desirability of those outcomes for patients… All confirm what would be expected from common sense: The complexity of modern medicine exceeds the inherent limitations of the unaided human mind” [1]. Although there are a variety of HIS and ICU PDMS systems available, there are few that provide ICU decision support.

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References

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Authors
  1. Thomas D. East
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  2. Alan H. Morris
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  3. C. Jane Wallace
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  4. Terry P. Clemmer
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  5. James F. Orme Jr.
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  6. Lyndall K. Weaver
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  7. Susan Henderson
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  8. Dean F. Sittig
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Editor information

Editors and Affiliations

  1. Cedars-Sinai Medical Center, 90048-1865, Los Angeles, CA, USA

    M. Michael Shabot M.D. (Associate Director of Surgery Director of Surgical Intensive Care Clinical Associate Professor of Surgery and Anesthesiology) (Associate Director of Surgery Director of Surgical Intensive Care Clinical Associate Professor of Surgery and Anesthesiology)

  2. UCLA School of Medicine, 90048, Los Angeles, CA, USA

    M. Michael Shabot M.D. (Associate Director of Surgery Director of Surgical Intensive Care Clinical Associate Professor of Surgery and Anesthesiology) (Associate Director of Surgery Director of Surgical Intensive Care Clinical Associate Professor of Surgery and Anesthesiology)

  3. Medical Computing, LDS Hospital, 84143, Salt Lake City, UT, USA

    Reed M. Gardner Ph.D. (Co-Director Professor of Medical Informatics) (Co-Director Professor of Medical Informatics)

  4. University of Utah, 84112, Salt Lake City, UT, USA

    Reed M. Gardner Ph.D. (Co-Director Professor of Medical Informatics) (Co-Director Professor of Medical Informatics)

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© 1994 Springer-Verlag New York Inc.

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East, T.D. et al. (1994). A Strategy for Development of Computerized Critical Care Decision Support Systems. In: Shabot, M.M., Gardner, R.M. (eds) Decision Support Systems in Critical Care. Computers and Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-2698-7_23

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  • DOI: https://doi.org/10.1007/978-1-4612-2698-7_23

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-97799-7

  • Online ISBN: 978-1-4612-2698-7

  • eBook Packages: Springer Book Archive

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