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Critical Care Decision Support Systems

  • Thomas D. East
  • Alan H. Morris
  • C. Jane Wallace
  • Lindell K. Weaver
  • Terry P. Clemmer
  • James F. Orme
  • Susan E. Henderson
Conference paper

Abstract

It is not enough to merely 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.” Although there are a variety of HIS and ICU PDMS systems available there are few that provide ICU decision support.

Keywords

Intensive Care Unit Decision Support Adult Respiratory Distress Syndrome Hospital Information System Extra Corporeal Membrane Oxygenation 
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.

References

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    Eddy DM. JAMA 1990; 263:1265–75.PubMedCrossRefGoogle Scholar
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    Morris AH Rean. Soins Intens. Med. Urg., 1990; 6(7):485–490.Google Scholar
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    Henderson S. Proceedings of the 14th SCAMC, IEEE Computer Soc Press 1990: 284–288.Google Scholar
  5. 5.
    East TD. Proceedings of the 14th SCAMC, IEEE Computer Soc Press 1990: 564–568.Google Scholar

Copyright information

© Springer-Verlag Tokyo 1992

Authors and Affiliations

  • Thomas D. East
    • 1
  • Alan H. Morris
    • 1
  • C. Jane Wallace
    • 1
  • Lindell K. Weaver
    • 1
  • Terry P. Clemmer
    • 1
  • James F. Orme
    • 1
  • Susan E. Henderson
    • 1
  1. 1.Pulmonary Division, Dept of MedicineLDS Hospital, and Univ. of UtahSalt Lake CityUSA

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