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Computers in Intensive Care

  • Stephen E. LapinskyEmail author
Chapter
Part of the Respiratory Medicine book series (RM, volume 18)

Abstract

The intensive care unit is a data-rich environment where the physician may have difficulty accessing and processing the large amount of data generated by each patient. Incomplete access to all clinical information can result in suboptimal clinical decision making. A computerized clinical information systems (CIS) can enhance ICU management in a number of ways. These include the provision of complete but appropriately filtered information at the bedside, reduction in drug errors and the use of intelligent alarms for the early identification of deteriorating patients. Electronic reminders can improve compliance with guidelines, and more sophisticated decision support systems may provide patient-specific management guidance. An easily accessible and usable interface with the CIS is essential, and various mobile and context-aware systems are being developed. Several barriers to implementation exist, including financial constraints and poor acceptance among clinicians for this cultural change.

Keywords

Critical care Health services Computer systems Decision support systems Quality improvement Telemedicine 

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Intensive Care UnitMount Sinai HospitalTorontoCanada
  2. 2.Interdepartmental Division of Critical Care, Department of Medicine, and Institute of Biomaterials and Biomedical EngineeringUniversity of TorontoTorontoCanada

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