Clinical Information Systems in the ICU

  • N. S. Ward
  • M. M. Levy
Conference paper
Part of the Yearbook of Intensive Care and Emergency Medicine 2001 book series (YEARBOOK, volume 2001)

Abstract

The term computerized information system or CIS as applied in a medical context is still a nebulous one. Currently, this term is used to describe a diverse array of computer-based hardware and software systems that aid in the care of patients. Generally these systems are able to record patient data, either directly or indirectly. Some systems are able to store and use the information in various ways to foster improved patient care. A CIS can be used solely for data retrieval and presentation such as an electronic medical record or they can incorporate more advanced applications such as decision analysis, management protocols, and databases that can be queried. CISs have already been used successfully in a variety of medical fields such as outpatient primary care medicine and they are now starting to be used commonly in the intensive care unit (ICU) as well.

Keywords

Peri Monit Dura Metaphor Kobus 

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References

  1. 1.
    Sado AS (1999) Electronic medical record in the intensive care unit. Crit Care Clin 15:499–522PubMedCrossRefGoogle Scholar
  2. 2.
    Hammond J, Johnson HM, Varas R, Ward CG (1991) A qualitative comparison of paper flowsheets vs a computer-based chnical information system. Chest 99:155–157PubMedCrossRefGoogle Scholar
  3. 3.
    Hammond J, Johnson HM, Ward CG, Varas R, Dembicki R, Marcial E (1991) Clinical evaluation of a computer-based patient monitoring and data management system. Heart Lung 20:119–124PubMedGoogle Scholar
  4. 4.
    Bradshaw KE, Gardner RM, Clemmer TP, Orme JE, Thomas F, West BJ (1984) Physician decisionmaking — evaluation of data used in a computerized ICU. Int J Clin Monit Comput 1:81–91PubMedCrossRefGoogle Scholar
  5. 5.
    Brown SJ, Cioffi MA, Schinella P, Shaw A, et al (1996) Evaluation of the impact of a bedside terminal system in a rapidly changing community hospital. Comput Nurs 13:280–284Google Scholar
  6. 6.
    Pierpont GL, Thilgen D (1995) Effect of computerized charting on nursing activity in intensive care. Crit Care Med 23:1067–1073PubMedCrossRefGoogle Scholar
  7. 7.
    Tolbert SH, Pertuz AE (1977) Study shows how computerization affects nursing activities in ICU. Hospitals 51:79–82, 84PubMedGoogle Scholar
  8. 8.
    Suistomaa M, Ruokonen E, Takala J (1997) Lack of standardized data collection causes bias in APACHE II and SAPS scores. Intensvive Care Med 23: A545 (Abstr)CrossRefGoogle Scholar
  9. 9.
    Cole WG, Stewart JG (1993) Metaphor graphics to support integrated decision making with respiratory data. Int J Clin Monit Comput 10:91–100PubMedCrossRefGoogle Scholar
  10. 10.
    Cole WG, Stewart JG (1994) Human performance evaluation of a metaphor graphic display for respiratory data. Methods Inf Med 33:390–396PubMedGoogle Scholar
  11. 11.
    Cohen IL, Bari N, Strosberg MA, et al (1991) Reduction of duration and cost of mechanical ventilation in an intensive care unit by use of a ventilatory management team. Crit Care Med 19:1278–1284PubMedCrossRefGoogle Scholar
  12. 12.
    Staggers N, Kobus D (2000) Comparing response time, errors, and satisfaction between text-based and graphical user interfaces during nursing order tasks. J Am Med Inform Assoc 7:164–176PubMedCrossRefGoogle Scholar
  13. 13.
    Sheppard LG, Kouchoukos NT (1976) Computers as monitors. Anesthesiology 45:250–259PubMedCrossRefGoogle Scholar
  14. 14.
    Cowen JS, Matchett SG (1999) The chnical management database. Critical Care Clinics 15:481–197PubMedCrossRefGoogle Scholar
  15. 15.
    Pronovost P, Angus DC (1999) Using large-scale databases to measure outcomes in critical care. Crit Care Clin 15:615–631PubMedCrossRefGoogle Scholar
  16. 16.
    Hogan WR, Wagner MM (1997) Accuracy of data in computer-based patient records. J Am Med Inform Assoc 4:342–355PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2001

Authors and Affiliations

  • N. S. Ward
  • M. M. Levy

There are no affiliations available

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