Many medical decision support systems that have been developed in the past have failed to enter routine clinical practice. Often this is because the developers have failed to analyse in sufficient detail the precise user requirements, because they have produced a system which takes too narrow a view of the patient, or because the decision support facilities have not been sufficiently well integrated into the routine clinical data handling activities. In this paper we discuss how the AIM-INFORM project is setting out to deal with these issues, in the context of the provision of decision support in the intensive care unit.
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Arturson G, Groth T, Hedlund A, Zaar B. Computer simulation of fluid resuscitation in trauma; first pragmatic validation in thermal injury. Burn Care Rehab, 1989; 10(4): 292–9.
Ash D, Hayes-Roth B. Temporal representations in blackboard architecture, Internal Rep, Knowledge Systems Lab, Dep Comput Sci, Stanford Univ, 1990.
Autio K, Makivirta A, Sukuvaara T, Kari A, Koski E, Saranummi N, Hunter JRW. Information management and decision support for the critically ill. In: Fox J, Talmon JL, editors Lecture notes in medical informatics, workshop: system engineering in medicine, Springer Verlag, 1989.
Chambrin MC, Chopin C, Ravaux P, Mangalaboyi J, Lesteval P, Fourrier F. Computer-assisted evaluation of respiratory data in ventilated critically ill patients. Int J Clin Monit Comput 1989; 6(4): 211–15.
Collinson PO, Jones RG, Howes M, Nicholls J, Sheehy N, Boran GR, Cramp DG. Of mice and men — data capture in the clinical environment. Int J Clin Monit Comput 1989; 6(4): 216–22.
East TD, Henderson S, Morris AH, Gardner RM. Implementation issues and challenges for computerized clinical protocols for management of mechanical ventilation in ARDS patients. SCAMC-89 1989: 583–7.
Engelmore R, Morgan T. Blackboard systems. New York: Addison Wesley, 1988.
Hayes-Roth B, Washington R, Hewett R, Hewett M, Seiver A. Intelligent real-time monitoring and control, IJCAI 89, 1989.
Kalli S, Leaning M, Ambroso C, Tuomisto T, Heikelä A, Ilomäki A, Yates C, Gregory R, Mereu M, Marraro G. INFORM: Conceptual modelling. In: Information technology in anesthesia, critical care and cardio-pulmonary medicine, 1990.
Makivirta A, Sukuvaara T, Koski E, Kalli S. Towards symbolization of intensive monitoring data for knowledge based inference systems. In: IEEE Engineering in Medicine & Biology Society 10th Annual International Conference (New Orleans) 1988: 1282–4.
Ross D, Ramayya P. Aberdeen Intensive Care Unit System (ABICUS): a medical information organizer, adviser and auditor. J Clin Monit 1988; 4(2): 158.
Shabot MM, LoBue M, Leyerle BJ, Dubin S. Decision support alerts for clinical laboratory and blood gas data. Int J Clin Monit Comput 1990; 7: 27–32.
Sittig DF, Pace NL, Gardner RM, Beck E, Morris AH. Implementation of a computerised patient advice system using the HELP clinical information system. Comput Biomed Res 1989; 22: 474–87.
Sittig DF, Gardner RM, Pace NL, Morris AH, Beck E. Computerized management of patient care in a complex, controlled clinical trial in the intensive care unit. Comput Meth Progr Biomed 1989; 30: 77–84.
Sivak ED, Gochberg JS, Frank DM. Lessons to be learned from the continuing epic of computerizing the intensive care unit, SCAMC-89 1989: 605–8.
Summers R, Carson ER, Cramp DG. An intelligent knowledge-based management system for patients undergoing artificial ventillation: AIRS. Medical Informatics 88: International Conference on Computers in Clinical Medicine, Nottingham, 1988.
Wielinga BJ, Schreiber G, de Greef P. KADS: Synthesis Report, Deliverable Y3: ESPRIT project P1098, University of Amsterdam, 1989.
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Hunter, J., Chambrin, M., Collinson, P. et al. INFORM: integrated support for decisions and activities in intensive care. J Clin Monit Comput 8, 189–199 (1991). https://doi.org/10.1007/BF01738892
- intensive care unit
- decision support
- user requirements