Summary
The traditional handwritten documentation can by no means meet the continuously increasing demands in modern intensive care. In a clinical evaluation a unix-based CIS was tested on a major German surgical intensive care unit (SICU). After a short training period most of the documentation work could be done with the CIS. Time savings resulted from automatic calculations of intake/output summaries and hemodynamics, and from on-line data transfer from bedside devices. The 100% legibility of the computer documentation, its consistent structure and terminology, and its comprehensiveness provided for a major improvement in quality. Thus, in a first clinical testing in a German SICU the replacement of the handwritten record with a unixbased CIS was successful and advantageous.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Barrett JJ, Saltz VW (1991) Potential liability for defective expert systems. Annual International Conference of the IEEE Engineering in Medicine and Biology Society 13: 1347–1348
BGH vom 23. 11. 1982 — MedR 1982, S. 62
Bradshaw KE, Gardner RM, Clemmer TP, et al (1984) Physician decision-making — Evaluation of data used in a computerized ICU. Int J Clin Monit Comput 1: 81–9110
Brimm JE (1987) Computers in critical care. Crit Care Nurs 9: 53–63
Cerne F (1989) Study finds bedside terminals prove their worth. Hospitals 63: 729
Donovan W, Corrales S (1991) The book on bedside computing. Inside Healthcare Computing, Long Beach, CA
Dzida W (1988) Modellierung und Bewertung von Benutzerschnittstellen. Software Kurier 1: 13–28
Furst E (1989) Computerizing the intensive care unit: Current status and future directions. J Cardiovasc Nurs 4: 68–78
Gardner RM (1987) Computer technology and its application to cardiovascular nursing. J Cardiovasc Nurs 1: 69–71
Gardner RM, Sittig DF, Budd MC (1989) The computer in the ICU: Match or mismatch? In: Textbook of Critical Care Medicine, 2nd edn. WB Saunders, Philadelphia
Gardner RM, Shabot MM (990) Computerized ICU data management: pitfalls and promises. Int J Clin Monit Comput 7: 99–105
Imhoff M (1991) Datenerfassung in der Patientenüberwachung — Problemstellung und Lösungsmöglichkeiten. Anaesthesist 40 [Suppl 2]: 132
Imhoff M (1992) Acquisition of ICU data: concepts and demands. Int J Clin Monit Comput 9: 229–237
Lappa K (1989) Inpatient bedside system enters the computer age. Hospitals 63: 769
Larsen JL, Jenkins JM (1987) Computerized arrhythmia monitoring. J Cardiovasc Nurs 1: 58–66
Leyerle BJ, LoBue M, Shabot M (1990) Integrated computerized databases for medical data management beyond the bedside. Int J Clin Monit Comput 7: 83–89
McDonald CJ, Tierney WM (1988) Computer-stored medical records: Their future role in medical practice. JAMA 259: 3433–3440
Narr H (1989) Ärzliches Berufsrecht. Band 2. 11. Ergänzung. Deutscher Ärzteverlag, Köln. S. 5757
OLG Karlsruhe v. 21. 07. 1982 — MedR 1983, S. 147
Opderbecke u. Weißauer — MedR 1984, S. 211
Shabott MM, LoBue M, Leyerle BJ, Dubin SB (1990) Decision support alerts for clinical laboratory and blood gas data. In J Clin Monit Comput 7: 2731
Shelton CR (1989) Bedside Computers Hospital Friendly? New Jersey Healthcare 3–6
Villalobos J, Manzano J, Blazquez M, Bolanos J, Lubillo S (1986) Computerized system in intensive care medicine. Med Inform 11: 269–275
Wendt M, Booke M, Hötauf K (1991) Datenflut in der Patientenüberwachung—Konzepte zur Optimierung des Datenmanagements. Anaesthesist 40 [Supp12]: 133
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1993 Springer-Verlag/Wien
About this chapter
Cite this chapter
Imhoff, M. (1993). One Year Experience with a Unix-Based Clinical Information System (CIS) on an SICU. In: Lenz, K., Metnitz, P.G.H. (eds) Patient Data Management in Intensive Care. Intensivmedizinisches Seminar, vol 6. Springer, Vienna. https://doi.org/10.1007/978-3-7091-9320-4_8
Download citation
DOI: https://doi.org/10.1007/978-3-7091-9320-4_8
Publisher Name: Springer, Vienna
Print ISBN: 978-3-211-82513-6
Online ISBN: 978-3-7091-9320-4
eBook Packages: Springer Book Archive