Computerized Data Management and Decision Making in Critical Care

  • Reed M. Gardner
Part of the Computers and Medicine book series (C+M)


Care of the critically ill patient places unusual demands on the practicing physician. The critically ill are usually referred to intensive care units (ICUs) and are connected to sophisticated physiologic monitoring equipment. As a result of their illness or injury, these patients are subjected to a wide variety of laboratory tests. Their therapy is complex, its timing is critical, and careful documentation is essential. The large volume of resulting data must be stored, processed, and used for clinical decision making. The tremendous growth of medical information, the demand for cost-effective care, and the need to document the justification for clinical decisions by patients, utilization review committees, third-party payers, and health care policy-makers have placed even more demands on physicians caring for the critically ill.


Critical Care Critical Care Unit Computer Terminal Handwritten Record Bedside Terminal 
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.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Toong HD, Gupta A. Personal computers. Sei Am 1982; 247:87.Google Scholar
  2. 2.
    Gardner RM, West BJ, Pryor TA, et al. Computer-based ICU data acquisition as an aid to clinical decision-making. Crit Care Med 1982; 10:823.PubMedCrossRefGoogle Scholar
  3. 3.
    Sheppard LC. computer control of the infusion of vasoactive drugs. Ann Biomed Eng 1980; 8:341.CrossRefGoogle Scholar
  4. 4.
    Barnett GO. The application of computer-based medical-record systems in ambulatory practice. N Engl J Med 1984; 310:1643.PubMedCrossRefGoogle Scholar
  5. 5.
    Whiting-O’Keffe QE, Simborg DW, Epstein WV. A controlled experiment to evaluate the use of time-oriented summary medical record. Med Care 1980; 8:842.CrossRefGoogle Scholar
  6. 6.
    Critical Care—Consensus Conference. JAMA 1983; 250:798.Google Scholar
  7. 7.
    Cottrell JJ, Pennock BE, Grenvik A. Critical care computing JAMA 1982; 248:2289.Google Scholar
  8. 8.
    Gardner RM. Information management—hemodynaminc monitoring. Semin Anesthiol 1983; 2:287.Google Scholar
  9. 9.
    Silage DA, Maxwell C. An acid-base map/arterial blood-gas interpretation program for hand-held computers. Resp Care 1984; 29:833.Google Scholar
  10. 10.
    Hülse, RK, Clark SJ, Jackson JC, et al. Computerized medication monitoring system. Am J Hosp Pharm 1976; 33:1061.PubMedGoogle Scholar
  11. 11.
    Bradshaw KE, Gardner RM, Clemmer TP, et al. Physical decision-making— evaluation of data used in a computerized ICU. Int J Clin Monit 1984; 1:81.CrossRefGoogle Scholar
  12. 12.
    Asbury AJ, Lush K, Franks CI. Computers in high dependency units—ABC of computing. Br Med J 1983; 287:472.CrossRefGoogle Scholar
  13. 13.
    Brimm JE, Peters RM. Applications of computers and other new techniques. In Berk LJ, Sampliner JE (eds): Handbook of Critical Care. 2nd ed. Boston: Little, Brown, 1982; pp 545–555.Google Scholar
  14. Saunders RJ, Jewett WR. System integration—the need in future anesthesia delivery systems. Med Instrum 1983; 17:389.PubMedGoogle Scholar
  15. 15.
    Serlin O. Fault-tolerant systems in commerical applications IEEE comput 1984; 17:19.Google Scholar
  16. 16.
    Bergman DA, Pantell RH. The art and science of medical decision making. J Pediatr 1984; 104:649.PubMedCrossRefGoogle Scholar
  17. 17.
    Warner HR. Computer-Assisted Medical Decision-Making. New York: Academic Press, 1979.Google Scholar
  18. 18.
    McDonald CJ. Protocol-based computer reminders, the quality of care and the non-perfectability of man. N Engl J Med 1976; 295–1351.Google Scholar
  19. 19.
    McDonald CJ, Hui SL, Smith DM, et al. Reminders to physicians from an in-rospective computer record—a two-year randomized trial. Ann Intern Med 1984; 100:130.PubMedGoogle Scholar
  20. 20.
    Gardner RM, Clemmer TP. Computerized protocols applied to acute care. Emerg Med Serv 1979; 7:90.Google Scholar
  21. 21.
    Shoemaker WC. Protocol medicine (editorial). Crit Care Med 1974; 2;279.PubMedCrossRefGoogle Scholar
  22. 22.
    Shoemaker WC. Fluid management. Semin Anesthiol 1983; 2:251.Google Scholar
  23. 23.
    Rao TLK. Cardiac monitoring for the noncardiac surgical patient. Semin Anesthiol 1983; 2;241.Google Scholar
  24. 24.
    Marino PL, Krasner J. An interpretive computer program for analyzing hemodynamic problems in the ICU. Crit Care Med 1984; 12:601.PubMedCrossRefGoogle Scholar
  25. 25.
    Lenat DB. Computer software for intelligent systems. Sei Am 1984; 251:204.Google Scholar
  26. 26.
    Shortliffe EH. Computer-based clinical decision aids: some practical considerations. First American Medical Informatics Association Conference Proceeding, San Francisco, May 2–5, 1982; pp 295–298.Google Scholar
  27. 27.
    Osborn JJ. Computers in critical care medicine. Promises and pitfalls. Crit Care Med 1982; 10:807.CrossRefGoogle Scholar
  28. 28.
    Arnell WJ, Schultz DG. Computers in anesthesiology—a look ahead. Med Instrum, 1983; 17:393.PubMedGoogle Scholar

Copyright information

© Springer-Verlag New York Inc. 1994

Authors and Affiliations

  • Reed M. Gardner

There are no affiliations available

Personalised recommendations