Flow of Information in the ICU — An Overview
A randomized decrease in number and content of information betters the feehng of the overloaded doctor. Still, the now missing information has to be replaced. Dogmatas, rites and other simple yes-no decisions are helpful in finding a way, but lead unevitably to medical fundamentalism.
The use of standards is a viable compromise. It is the nature of standards, that they have to be reevaluated continuously, otherwise they result in fixed rules and again lead to dogmatism.
Proper and wise use of information, enabled by means of structured presentation, meaningful contexts and “intelligent” abstractions is still the most effective way of making decisions and acting accordingly. This is reahzed to a great extent in business, stock exchange and in the military field, but medicine is far behind. Doctors tend to accuse industry for this lack of innovation, but mostiy the developers interface between the rules of medicine and the tools of information is the weak point.
KeywordsClinical Decision Support System Anesthesia System Intensive Care Information System Therapeutical Team Formalize Decision Support
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