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Human factors and computerisation in intensive care units: a review

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International journal of clinical monitoring and computing

Abstract

Current literature on the computerisation of Intensive Care Units indicates that many human factor considerations are relevant to the design and introduction of computer systems and to the evaluation of such systems within this environment. This paper aims to review and summarise essential points from the literature.

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References

  1. Perrault LE, Wiederhold G. System design and evaluation. In: Shortliffe EH, Perrault LE, Fagan LM, Wiederhold G, editors. Medical informatics: computer applications in health care. New York: Addison-Wesley, 1990: 151–78.

    Google Scholar 

  2. Kari A, Saijonmaa J, Ruokonen E, Takala J. The assessment of a data management system for critical care. IEEE Engineering in Medicine and Biology Society 10th Annual International Conference. August 1988.

  3. Glaeser DH, Thomas LJ. Computer monitoring in patient care. Ann Rev Biophys Bioeng 1975; 4: 449–76.

    Article  CAS  Google Scholar 

  4. Asbury AJ, Lush K, Franks CI. ABC of computing: computers in high dependency units. Br Med J 1983: 472.

  5. Bradshaw KE, Gardner RM, Clemmer TP, Orme JF, Thomas F, West BJ. Physician decision making — evaluation of data used in a computerised ICU. Int J Clin Monit Comput 1984; 1: 81–91.

    Article  PubMed  CAS  Google Scholar 

  6. Shortliffe EH. Clinical decision support systems. In: Shortliffe EH, Perrault LE, Fagan LM, Wiederhold G, editors. Medical informatics: computer applications in health care. New York: Addison-Wesley, 1990: 466–502.

    Google Scholar 

  7. Gardner RM. Computerised data management and decision making in critical care. Surg Clin of North Am 1985 Aug; 65(4): 1041–51.

    CAS  Google Scholar 

  8. Shabot MM, Carlton PD, Sadoff S, Nolan-Avila L. Graphical reports and displays for complex ICU data: a new, flexible and configurable method. Comp Meth Prog Biomed 1986; 22: 111–6.

    Article  CAS  Google Scholar 

  9. Gardner RM, West BJ, Pryor TA, Larsen KG, Warner HR, Clemmer TP, Orme JF Jr. Computer-based ICU data acquisition as an aid to clinical decision-making. Crit Care Med 1982: 10(12): 823–30.

    Article  PubMed  CAS  Google Scholar 

  10. Price DJ. Do computers help or hinder in the bedside data explosion? IEEE Colloqium on Computers in Intensive Care Patient Management, 1984.

  11. Kaplan B. The influence of medical values and practices on medical computer applications. In: Anderson JG, Jay SG, editors. The use and impact of computers in clinical medicine. New York: Springer-Verlag, 1987: 39–50. (This paper is reprinted from Proceedings of the First International Conference on Medical/Computer Science/Computational Medicine, MEDCOMP '82, Philadelphia, Pa, September 23–25, pp. 83–8).

    Google Scholar 

  12. Collinson PO, Jones RG, Howes M, Nicholls J, Sheehy N, Boran GR, Cramp DG. Data capture in the clinical environment — factors limiting acceptability and methods of data validation. Br Med Informatics Soc, Med Informatics 1988; 205–9.

  13. Jones RG, Collinson PO, Howes M, Boran G. Clinical data capture using a pressure sensitive graphics pad — APACHE scoring in the intensive therapy unit. In: Coleridge-Smith and Scurr, editors. Medical applications of microcomputers. New York: Springer-Verlag, 1988: 61–8.

    Google Scholar 

  14. 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: 217–22.

    Article  PubMed  CAS  Google Scholar 

  15. Gardner RM, Shabot MM. Computerised ICU data management: pitfalls and promises. Int J Clin Monit Comput 1990; 7: 99–105.

    Article  PubMed  CAS  Google Scholar 

  16. Cottrell JJ, Pennock DE, Grenvik A, Rogers RM, Critical care computing. JAMA 1982; 248: 289–91.

    Article  Google Scholar 

  17. Booth F. Patient monitoring and data processing in the ICU. Crit Care Med 1983; 11: 57–8.

    Article  PubMed  CAS  Google Scholar 

  18. Watt CS. A nursing view of computers in intensive care. IEEE Colloqium Computers in Intensive Care Patient Management 1984.

  19. Cook M. Using computers to enhance professional practice. Nursing Times Sept 15 1982: 1542–4.

    Google Scholar 

  20. Manzano JL, Villalobos J, Church RN, Manzano JJ. Computerised information system for ICU patient management. Crit Care Med 1980; 8(12): 745–7.

    Article  PubMed  CAS  Google Scholar 

  21. Hawley W, Tariq H, Gardner R. Clinical implementation of an automated medical information bus in an intensive care unit. In: Greenes R, editor. Proceedings of the Twelfth Annual Symposium on Computer Applications in Medical Care, Washington DC: IEEE Computer Society Press.

  22. McDonald CJ, Hammond WE. Standard formats for electronic transfer of clinical data. Ann Inter Med 1989; 110(5): 333–5.

    CAS  Google Scholar 

  23. Shortliffe EH. Medical consultation systems. In: Sime ME, Coombs MJ, editors. Designing for human-computer communication. New York: Academic Press, 1983: 209–38.

    Google Scholar 

  24. Avila LS, Shabot MM. Keys to the successful implementation of an ICU patient data management system. Int J Clin Monit Comput 1988; 5: 15–25.

    Article  PubMed  CAS  Google Scholar 

  25. Hugenholtz PG, Miller AC, Krauss XH, Hagemeijer F. Automation in the management of data in the intensive care unit. In: Walker WF, Taylor DEM, editors. Intensive care: Proceedings of 8th Pfizer International Symposium. Edinburgh: Churchill Livingstone, 1975: 36–47.

    Google Scholar 

  26. Ambroso C, Bowes C, Chambrin M-C, Gilhooly K, Green C, Kari A, Logie R, Rembold P, Marraro G, Mereu M, Reynolds M. INFORM: European survey of computers in intensive care units. Presented at the 11th International Symposium on Information Technology in Anesthesia, Critical Care and Cardiopulmonary Medicine, Rotterdam, Oct 8–10, 1990.

  27. Ross DG, Ramayya GP. Evolution and Design in PDMS. Presented at Conference on Computers in Critical Care, Pulmonary Medicine and Anaesthesia. Norwalk, Connecticut 19–22 Sept., 1989.

  28. Gilhooly KJ, Logie R, Ross D, Ramayya P, Green C. Users' perceptions of a computerised information system in intensive care(ABICUS) on introduction and after 2 months use. Presented at the 11th International Symposium on Information Technology in Anesthesia, Critical Care and Cardiopulmonary Medicine, Rotterdam, Oct 8–10, 1990.

  29. Grant L. Computing in the intensive care unit. Int Ther Clin Monit 1989 March: 86–90.

  30. Kenny GNC, Campbell D. Micro-computer assisted cardiovascular monitoring. In: Paul JP, Jordan MM, Ferguson-Pell MW, Andrews BJ, editors. Computers in medicine. New York: Macmillan, 1981: 27–30.

    Google Scholar 

  31. Igersheim RH. Managerial response to an information system. Proceedings of the National Computer Conference 1976; 45: 877–82. Montvale, New Jersey: AFIPS Press.

    Google Scholar 

  32. Eason KD. A task-tool analysis of manager-computer interaction. In: B. Shackel, editor. Man-computer interaction: human factors aspects of computers and people. Rockville, Maryland: Sijthoff and Noordhoff, 1981: 289–307.

    Google Scholar 

  33. Blum BI. Clinical information systems — a review. In: Medical informatics (special issue). Western J Med 1986 (Dec); 145: 791–7.

    CAS  Google Scholar 

  34. Martin JM. Computers — help or hindrance to the clinical nurse? In: Scholes M, Bryant Y, Barber B, editors. The impact of computers on nursing. Amsterdam, Elsevier, 1983: Chap 7.1: 156–62.

    Google Scholar 

  35. Bailey JS, Wyatt R, Allwood JM. The nurse to computer interface. In: Paul JP, Jordan MM, Ferguson-Pell MW, Andrews BJ, editors. Computers in medicine. London: Macmillan Press, 1981: 289–93.

    Google Scholar 

  36. Shortliffe EH. Medical expert systems — knowledge tools for physicians. In: Medical informatics (special issue). Western J Med 1986. Dec; 145: 830–9.

    CAS  Google Scholar 

  37. Shortliffe EH. Computer programs to support clinical decision making. JAMA 1987; 258(1): 61–6.

    Article  PubMed  CAS  Google Scholar 

  38. Kaplan B, Duchon D. Job-related responses to a clinical laboratory computer information system 7 months post-implementation. In: Salvendy G, Sauter SL, Hurrell JJ Jr, editors. Social, ergonomic and stress aspects of work with computers. Amsterdam: Elsevier, 1987: 17–24.

    Google Scholar 

  39. Blum BI. Clinical information systems. New York: Springer-Verlag, 1986: Ch 7.

    Google Scholar 

  40. Fischer PJ, Stratmann WC, Lundsgaarde HP, Steele DJ. User reaction to PROMIS: Issues related to acceptability of medical innovations. IEEE Proceedings of the Fourth Annual Symposium on Computer Applications in Medical Care, SCAMC 1980: 1722–30.

  41. Melhorn JM, Legler WK, Clark GM. Current attitudes of medical personnel towards computers. Comp Biomed Res 1979; 12: 327–34.

    Article  CAS  Google Scholar 

  42. Greenburg AC, McClure DK, Fink R, Stubbs JA, Peskin GW. Computerisation of the surgical intensive care unit: improvement of patient care via education. Surgery 1975; 77: 799–806.

    PubMed  CAS  Google Scholar 

  43. Kjerulff KH, Counte MA, Salloway JC, Campbell BC, Noskin DE. Medical information system training: an analysis of the reactions of hospital employees. Comp Biomed Res 1984; 17: 303–10.

    Article  CAS  Google Scholar 

  44. Phillips GD, Gordon PJ, Cousins MJ. Computer-based monitoring and data analysis in anaesthesia and intensive care. Anaesth. Inten. Care 1982; 10: 223–8.

    CAS  Google Scholar 

  45. Gardner RM. Patient-monitoring systems. In: Shortliffe EH, Perrault LE, Fagan LM, Wiederhold G, editors. Medical informatics: computer applications in health care. New York: Addison-Wesley, 1990: 366–99.

    Google Scholar 

  46. Berg CM. The impact of computers on nursing. In: Scholes M, Bryant Y, Barber B, editors. Amsterdam: Elsevier, 1983, Ch 3.3: 24–33.

    Google Scholar 

  47. Watt CS. Research project: computerised monitoring in ICU. Nursing Mirror June 29 1983: 58–9.

    Google Scholar 

  48. Smith R. Computers in medicine: searching for the rainbow and the crock of gold. Br Med J 1982; 284: 1859–60.

    Article  Google Scholar 

  49. Tolbert SH, Pertuz AE. Study shows how computerisation affects nursing activities in ICU. Nursing 1977 Sept 1; 51: 79–84.

    CAS  Google Scholar 

  50. Bradshaw KE, Sittig DF, Gardner RM, Pryor TA, Budd M. Improving efficiency and quality in a computerised ICU. SCAMC 1988: 763–7.

  51. Lauwers P, Ferdinande P, Van de Walle J, Willems J, Theunissen W. Computer assisted monitoring in intensive medicine. Acta Anaesthesiol Belg 1978 Sept; 3: 287–304.

    Google Scholar 

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Authors and Affiliations

  1. Psychology Dept., Aberdeen University, AB9 2UB, Aberdeen, Scotland, UK

    C. A. Green,  K. J. Gilhooly & R. Logie

  2. Dept of Anaesthetics, Aberdeen University, Scotland, UK

    D. G. Ross

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  1. C. A. Green
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  2. K. J. Gilhooly
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  3. R. Logie
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  4. D. G. Ross
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Green, C.A., Gilhooly, K.J., Logie, R. et al. Human factors and computerisation in intensive care units: a review. J Clin Monit Comput 8, 167–178 (1991). https://doi.org/10.1007/BF01738889

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