Evaluation of an integrated intensive care unit monitoring display by critical care fellow physicians.

Journal of Clinical Monitoring and Computing
Matthias GörgesBoaz A Markewitz

Abstract

In the past two far-view displays, which showed vital signs, trends, alarms, infusion pump status, and therapy support indicators, were developed and assessed by critical care nurses (Görges et al. in Dimens Crit Care Nurs. 30(4):206-17, 2011). The aim of the current study is to assess the generalizability of these findings to physicians. The first aim is to test whether an integrated far-view display, designed to be readable from 3 to 5 m, enables critical care physicians to more rapidly and accurately (1) recognize a change in patient condition; (2) identify alarms; and (3) identify near-empty infusion pumps, than a traditional patient monitor and infusion pump. A second aim is to test if the new displays reduce the mental workload required for this decision making. Fifteen critical care fellow physicians (median age of 34 years, with 2-8 years of ICU experience) were asked to use the three displays to compare the data from two patients and decide which patient required their attention first. Each physician made 60 decisions: 20 with each of the two far-view displays and 20 decisions with a standard patient monitor next to an infusion pump. A 41 and 26 % improvement in decision accuracy was observed with the bar and clock far...Continue Reading

References

Oct 19, 2002·Current Opinion in Critical Care·Yoel Donchin, F Jacob Seagull
May 18, 2005·Journal of Biomedical Informatics·S Blake WachterDwayne Westenskow
May 16, 2006·Human Factors·Frank A Drews, Dwayne R Westenskow
Dec 8, 2007·Journal of Clinical Monitoring and Computing·Matthias Görges, Nancy Staggers
Apr 18, 2009·Anesthesia and Analgesia·Matthias GörgesDwayne R Westenskow
Jun 23, 2009·Journal of Clinical Monitoring and Computing·Jacqueline M TappanJ Mark Ansermino
Jun 10, 2011·Dimensions of Critical Care Nursing : DCCN·Matthias GörgesDwayne R Westenskow

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Citations

Dec 7, 2017·Critical Care Nursing Quarterly·Diana C AndersonNeil A Halpern
Oct 25, 2013·AACN Advanced Critical Care·Kathleen A Harder, David Marc
Dec 7, 2013·Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses·Katharine ColtonUNKNOWN ONPOINT Study Group
Nov 23, 2016·JMIR Medical Informatics·Rishikesan Kamaleswaran, Carolyn McGregor
Jul 31, 2018·Journal of the American Medical Informatics Association : JAMIA·Thomas ReeseMelanie C Wright
Aug 20, 2019·Journal of Biomedical Informatics: X·Melanie C WrightNoa Segall
Jul 13, 2017··Cynthia B. PerezAmanda Tapia Zazueta
Dec 27, 2017··Jessica BeltránAmanda Tapia

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