PMID: 6400423Jan 1, 1984Paper

Physician decision-making--evaluation of data used in a computerized ICU

International Journal of Clinical Monitoring and Computing
K E BradshawB J West

Abstract

New instrumentation, techniques and computers have made such large amounts of information rapidly available to ICU clinicians that there is now a danger of information overload. To help with this problem at LDS Hospital, a computerized system was implemented in the Shock-Trauma ICU. This ICU is almost totally computerized with each patient's physiologic, laboratory, drug, demographic, fluid input/output and nutritional data integrated into the patient's computer record. In the ICU, physician decision-making takes place in two situations: during rounds and on-site. For this study, data usage in decision-making was evaluated in both of these environments. The items of data used in decision-making were tabulated into six categories: bedside monitor, laboratory, drugs, input/output and IV, blood gas laboratory, observations and other. Comparisons were made between the portion of the computerized database occupied by a category and its use in decision-making. Combined laboratory data (clinical, microbiology and blood gas) made up 38 to 41% of total patient data reviewed and occupied 16.3% of the database. Observations made up 21-22% of the data reviewed and occupied 6.8% of the database. Drugs, input/output and IV data usage ranged ...Continue Reading

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Citations

Feb 1, 1993·International Journal of Clinical Monitoring and Computing·T Groth, P O Collinson
Dec 1, 1992·International Journal of Clinical Monitoring and Computing·R M Gardner, S M Huff
Dec 1, 1992·International Journal of Clinical Monitoring and Computing·M Imhoff
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