Decision Support Systems in Critical Care [Paperback]

Modern critical care is characterized by the collection of large volumes of data and the making of urgent patient care decisions. The two do not necessarily go together easily. For many years the hope has been that ICU data management systems could play a meaningful role in ICU decision support. These hopes now have a basis in fact, and this book details the history, methodology, current status, and future prospects for critical care decision support systems. By focusing on real and operational systems, the book demonstrates the importance of integrating data from diverse clinical data sources; the keys to implementing clinically usable systems; the pitfalls to avoid in implementation; and the development of effective evaluation methods.Modern critical care is characterized by the collection of large volumes of data and the making of urgent patient care decisions. The two do not necessarily go together easily. For many years the hope has been that ICU data management systems could play a meaningful role in ICU decision support. These hopes now have a basis in fact, and this book details the history, methodology, current status, and future prospects for critical care decision support systems. By focusing on real and operational systems, the book demonstrates the importance of integrating data from diverse clinical data sources; the keys to implementing clinically usable systems; the pitfalls to avoid in implementation; and the development of effective evaluation methods.I. Fundamentals.- 1. Medical Informatics and Desicion Support Systems in the Intensive Care Unit: State of the Art.- 2. Computers in Critical Care: A Historical Perspective.- 3. Physician Decision-Making: Evaluation of Data Used in a Computerized Intensive Care Unit.- 4. Development of Decision Support Systems.- 5. Decision Analysis: A Framework for Critical Care Decision Assistance.- II. Decision Support Data Links.- 6. Standardized Acquisition of Bedside Data: The IEEE P1073 Medical Information Bus.l3§