By Terry P. Clemmer, Reed M. Gardner, M. Michael Shabot (auth.), M. Michael Shabot M.D., Reed M. Gardner Ph.D. (eds.)
Modern severe care is characterised by means of the gathering of enormous volumes of knowledge and the making of pressing sufferer care judgements. the 2 don't inevitably move jointly simply. for a few years the wish has been that ICU information administration structures may play a significant function in ICU determination aid. those hopes now have a foundation actually, and this e-book information the background, technique, present prestige, and destiny clients for serious care determination aid platforms. through concentrating on genuine and operational structures, the ebook demonstrates the significance of integrating information from diversified scientific information assets; the keys to enforcing clinically usable structures; the pitfalls to prevent in implementation; and the improvement of powerful review methods.
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Extra resources for Decision Support Systems in Critical Care
Example text
Trace and M. H. Weil shock ward. The system was evolved such that more than 100 programs were developed which consisted of a total of approximately 100,000 instruction words. The capability of the system was limited by a maximum of 20,000 characters of core storage and a maximum of 2,000,000 characters of disk storage. Even though this system required a computer room which was equal in size to the ward itself and cost in excess of $500,000 (in 1961 dollars), its capability was less than one-hundredth of that of current midsize desktop microprocessors.
Then standard nursing procedures and monitoring are automatically ordered, such as daily intake and output, weights, and every periodic urine glucose monitoring. Thus using the computer, subtle control of the delivery of care is provided through indirect expert guidance or critiquing. The number of calories, composition of nutrients, electrolytes, and nursing care related to the TPN are controlled and the inventory of products reduced [54]. Similar programs for antibiotic ordering [14,15] and blood banking [52,53] have also been developed.
Incentives for the Use of Computer Systems The incentives for computer use were present, therefore, in several domains. First, there was a very rapid expansion of technology at the bedside together with an increasing commitment to direct patient care by both physicians and nurses. During the earlier years, it was primarily patient monitoring of cardiovascular and pulmonary function which was to be facilitated by digital processing methodologies (1)-8]. , the electrocardio25 26 D. A. Trace and M.