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One Year Experience with a Unix-Based Clinical Information System (CIS) on an SICU

  • M. Imhoff
Part of the Intensivmedizinisches Seminar book series (INTENSIVM.SEM., volume 6)

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.

Keywords

Surgical Intensive Care Unit Clinical Information System Documentation Work Short Training Period Central Data Service 
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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References

  1. [1]
    Barrett JJ, Saltz VW (1991) Potential liability for defective expert systems. Annual International Conference of the IEEE Engineering in Medicine and Biology Society 13: 1347–1348Google Scholar
  2. [2]
    BGH vom 23. 11. 1982 — MedR 1982, S. 62Google Scholar
  3. [3]
    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: 81–9110PubMedCrossRefGoogle Scholar
  4. [4]
    Brimm JE (1987) Computers in critical care. Crit Care Nurs 9: 53–63Google Scholar
  5. [5]
    Cerne F (1989) Study finds bedside terminals prove their worth. Hospitals 63: 729Google Scholar
  6. [6]
    Donovan W, Corrales S (1991) The book on bedside computing. Inside Healthcare Computing, Long Beach, CAGoogle Scholar
  7. [7]
    Dzida W (1988) Modellierung und Bewertung von Benutzerschnittstellen. Software Kurier 1: 13–28Google Scholar
  8. [8]
    Furst E (1989) Computerizing the intensive care unit: Current status and future directions. J Cardiovasc Nurs 4: 68–78CrossRefGoogle Scholar
  9. [9]
    Gardner RM (1987) Computer technology and its application to cardiovascular nursing. J Cardiovasc Nurs 1: 69–71PubMedCrossRefGoogle Scholar
  10. [10]
    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, PhiladelphiaGoogle Scholar
  11. [11]
    Gardner RM, Shabot MM (990) Computerized ICU data management: pitfalls and promises. Int J Clin Monit Comput 7: 99–105Google Scholar
  12. [12]
    Imhoff M (1991) Datenerfassung in der Patientenüberwachung — Problemstellung und Lösungsmöglichkeiten. Anaesthesist 40 [Suppl 2]: 132Google Scholar
  13. [13]
    Imhoff M (1992) Acquisition of ICU data: concepts and demands. Int J Clin Monit Comput 9: 229–237PubMedCrossRefGoogle Scholar
  14. [14]
    Lappa K (1989) Inpatient bedside system enters the computer age. Hospitals 63: 769Google Scholar
  15. [15]
    Larsen JL, Jenkins JM (1987) Computerized arrhythmia monitoring. J Cardiovasc Nurs 1: 58–66Google Scholar
  16. [16]
    Leyerle BJ, LoBue M, Shabot M (1990) Integrated computerized databases for medical data management beyond the bedside. Int J Clin Monit Comput 7: 83–89PubMedCrossRefGoogle Scholar
  17. [17]
    McDonald CJ, Tierney WM (1988) Computer-stored medical records: Their future role in medical practice. JAMA 259: 3433–3440Google Scholar
  18. [18]
    Narr H (1989) Ärzliches Berufsrecht. Band 2. 11. Ergänzung. Deutscher Ärzteverlag, Köln. S. 5757Google Scholar
  19. [19]
    OLG Karlsruhe v. 21. 07. 1982 — MedR 1983, S. 147Google Scholar
  20. [20]
    Opderbecke u. Weißauer — MedR 1984, S. 211Google Scholar
  21. [21]
    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: 2731Google Scholar
  22. [22]
    Shelton CR (1989) Bedside Computers Hospital Friendly? New Jersey Healthcare 3–6Google Scholar
  23. [23]
    Villalobos J, Manzano J, Blazquez M, Bolanos J, Lubillo S (1986) Computerized system in intensive care medicine. Med Inform 11: 269–275CrossRefGoogle Scholar
  24. [24]
    Wendt M, Booke M, Hötauf K (1991) Datenflut in der Patientenüberwachung—Konzepte zur Optimierung des Datenmanagements. Anaesthesist 40 [Supp12]: 133Google Scholar

Copyright information

© Springer-Verlag/Wien 1993

Authors and Affiliations

  • M. Imhoff
    • 1
  1. 1.Chirurgische KlinikStädtische KlinikenDortmundGermany

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