Abstract
Over the next five years, computer-based systems will replace the paper chart in many critical care units [1]. Powerful, easy-to-use bedside workstations will acquire, store, and display a comprehensive set of patient data, including the patient’s history and physical exam, physiological variables, laboratory results, and radiographic images. Using such a system, the clinician will have vastly better access to facts about his or her patients than he now has, using the existing manual charting methods. However, having ready access to facts leaves the clinician with the difficult task of choosing what to do. It is natural to expect that the computer should provide assistance here, as well. Reed Gardner [2], President of Computers in Critical Care and Pulmonary Medicine has said: “The ultimate goal of a medical computer system is, after all, to assist physicians in making medical decisions.”
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Brimm JE. Computers in critical care. Crit Care Nurs Q 1987, March 53–63.
Gardner RM. Computerized management of intensive care patients. MD Comput 1986; 3:36–51.
Bone RC. Monitoring respiratory function in the patient with adult respiratory distress syndrome. Semin Resp Med 1981; 3:45–55.
Shoemaker WC. Relation of oxygen transport patterns to the pathophysiology and therapy of shock states. Intensive Care Med 1987; 13:230–43.
Knaus WA, Draper EA, Wagner DP. An evaluation of outcome from intensive care in major medical centers. An Intern Med 1986; 104:410–18.
Civetta JM, Hudson-Civetta J. Cost-effective use of the intensive care unit. In Eiseman B, Stahlgren L. (ed): Cost-Effective Surgical Care 1987.
Howard RA. Decision analysis: applied decision theory. In: Hertz DB, Melese J (eds): Proceeding of the Fourth International Conference on Operations Research. New York: Wiley-Interscience, 1986; 55–71.
Laplace PS. A Philosophical essay on probabilities. 6th ed. New York: Dover, 1951.
Bernoulli D. Specimen theoriae novea de mensora sortis. Papers of the Imperial Academy of Sciences in Petersburg 1738; 5:175–92.
Pauker SG, Kassirer JP. Decision analysis. New Engl J Med 1987; 316:250–8.
Howard RA, Matheson JE. Influence diagrams. In: Howard RA, Matheson JE (eds): Readings on the Principles and Applications of Decision Analysis, Vol. II Menlo Park, CA: Strategic Decisions Group, 1984:719–62.
Olmsted S.On representing and solving decision problems. PH.D. dissertation. Stanford, Calif.: Engineering-Economic Systems Department, Stanford University, 1983.
Shachter RD. Evaluating influence diagrams. Operations Res 1986; 34:871–82.
Holtzman S. Intelligent decision systems. Reading, MA. Addison-Wesley, 1989; pp. 90–107.
Howard RA. Knowledge maps. Management Science 1989; 35(8):903–922.
Comroe JH, Forster RE, DuBois AB, Briscoe WA, Carlsen E. The Lung. 2nd edition. Chicago: Year Bood Medical Publishers, 1962:339–41.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1994 Springer-Verlag New York Inc.
About this chapter
Cite this chapter
Seiver, A., Holtzman, S. (1994). Decision Analysis: A Framework for Critical Care Decision Assistance. In: Shabot, M.M., Gardner, R.M. (eds) Decision Support Systems in Critical Care. Computers and Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-2698-7_5
Download citation
DOI: https://doi.org/10.1007/978-1-4612-2698-7_5
Publisher Name: Springer, New York, NY
Print ISBN: 978-0-387-97799-7
Online ISBN: 978-1-4612-2698-7
eBook Packages: Springer Book Archive