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Review
. 2001 Oct;5(5):249-54.
doi: 10.1186/cc1041. Epub 2001 Sep 13.

Rational use of computerized protocols in the intensive care unit

Affiliations
Review

Rational use of computerized protocols in the intensive care unit

A H Morris. Crit Care. 2001 Oct.

Abstract

Excess information in complex ICU environments exceeds human decision making limits, increasing the likelihood of clinical errors. Explicit decision-support tools have favorable effects on clinician and patient outcomes and can reduce the variation in clinical practice that persists even when guidelines based on reputable evidence are available. Computerized protocols used for complex clinical problems generate, at the point-of-care, patient-specific evidence-based therapy instructions that can be carried out by different clinicians with almost no inter-clinician variability. Individualization of patient therapy is preserved by these explicit protocols since they are driven by patient data. Computerized protocols that aid ICU decision-makers should be more widely distributed.

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References

    1. Squara P, Journois D, Formela JF, Schremmer B, Dhainaut JF, Bleichner G. Value of elementary, combined, and modeled hemodynamic variables. J Crit Care. 1994;9:223–235. - PubMed
    1. Berenholtz S, Pronovost P, Lipsett P, Dawson P, Dorman T. Assessing the effectiveness of critical pathways on reducing resource utilization in the surgical intensive care unit. Intensive Care Med. 2001;27:1029–1036. doi: 10.1007/s001340100952. - DOI - PubMed
    1. Miller R, Goodman K. Ethical challenges in the use of decision-support software in clinical practice. In Ethics, Computing, and Medicine: Informatics and the Transformation of Health Care Edited by Goodman K Cambridge, UK: Cambridge University Press; 1998. pp. 102–115.
    1. East TD, Böhm SH, Wallace CJ, Clemmer TP, Weaver LK, Orme JF, Jr, Morris AH. A successful computerized protocol for clinical management of pressure control inverse ratio ventilation in ARDS patients. Chest. 1992;101:697–710. - PubMed
    1. East T, Heermann L, Bradshaw R, Lugo A, Sailors R, Ershler L, Wallace C, Morris A, McKinley G, Marquez A, Tonnesen A, Parmley L, Shoemaker W, Meade P, Taut P, Hill T, Young M, Baughman J, Olterman M, Gooder V, Quinnj B, Summer W, Valentine V, Carlson J, Bonnell B, deBoisblanc B, McClarity Z, Cachere J, Kovitz K, Gallagher E, Pinsky M, Angus D, Cohenj M, Hudson L, Steinberg K. Efficacy of computerized decision support for mechanical ventilation: results of a prospective multi-center randomized trial. Proc AMIA Symp. 1999:251–255. - PMC - PubMed

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