Which of the following are the advantages of critical care information system?
Show
Due to advancements in surgery, medicine and equipment, the modern intensive care unit (ICU) patient necessitates the recording of vast amounts of data. The management of these data is increasingly impinging on nursing time. A review of the literature describes the potential benefits of using a clinical information system (CIS) to record and save data electronically rather than transcribing it onto conventional charts. Commercial systems that can perform these tasks are available but have severe financial implications in terms of initial costs, maintenance and upgrading. Work is continuing at Killingbeck Hospital on a project developing and introducing a CIS into intensive care using standard hardware, software and programming tools thus minimizing these costs. Cited by (0)Copyright © 1997 Published by Elsevier Ltd. These are computerised databases which store and retrieve the ICU medical records. They may integrate diagnostic test review, test ordering, prescription/administration of drugs, and storage/retrieval of imaging studies. LITFL has an excellent summary. Whatever the public opinion of these things, at the time of the article's original date of writing (mid 2014) the inevitable invasion of ICCIS was viewed as inevitable in NSW in spite of its many crippling flaws (though it was renamed eRIC, presumably to avoid association with the Islamic State of Iraq and the Levant). This tide has now (in 2020) washed over the author's own institution. Question 15 from the second paper of 2007 asked the candidates to critically evaluate the role of a CIS in intensive care. In order to render answering this question easier, the topic discussion has been framed into familiar rationale-advantages-disadvantages-evidence framework. As far as reading material goes, one cannot look past Oh's manual, Chapter 9 (pp. 69) Clinical information systems by David Fraenkel. Fraenkel used to be the president of ANZICS, in case you are wondering. He published a paper in 2003 about the quality benefits of a CIS, and may well have inspired the author of Question 15 from the second paper of 2007. Wherever possible, this paper along with Oh's Chapter 9 are used as the main resources for the ensuing discussion. Critical evaluation of the CISRationale
Advantages of CIS
Disadvantages of CIS
Evidence in support of CIS implementation
Evidence against the use of CIS
Worldwide experience
Briefly, the issues involved in designing and implementing a CIS
ReferencesChapter 9 (pp. 69) Clinical information systems by David Fraenkel Hammond, Jeffrey, et al. "A qualitative comparison of paper flowsheets vs a computer-based clinical information system." CHEST Journal 99.1 (1991): 155-157. Wong, David H., et al. "Changes in intensive care unit nurse task activity after installation of a third-generation intensive care unit information system." Critical care medicine 31.10 (2003): 2488-2494. Marasovic, Caroline, et al. "Attitudes of Australian nurses toward the implementation of a clinical information system." Computers in Nursing 15.2 (1996): 91-98. Mador, Rebecca L., and Nicola T. Shaw. "The impact of a Critical Care Information System (CCIS) on time spent charting and in direct patient care by staff in the ICU: a review of the literature." International journal of medical informatics 78.7 (2009): 435-445. Levesque, Eric, et al. "The implementation of an Intensive Care Information System allows shortening the ICU length of stay." Journal of clinical monitoring and computing (2014): 1-7. Levesque, Eric, et al. "The positive financial impact of using an Intensive Care Information System in a tertiary Intensive Care Unit." International journal of medical informatics 82.3 (2013): 177-184. Lapinsky, Stephen E. "Computers in Intensive Care." The Organization of Critical Care. Springer New York, 2014. 53-69. Ehteshami, Asghar, et al. "Intensive care information system impacts." Acta Informatica Medica 21.3 (2013): 185. Amarasingham, Ruben, et al. "Clinical information technologies and inpatient outcomes: a multiple hospital study." Archives of Internal Medicine 169.2 (2009): 108-114. Hunt, Dereck L., et al. "Effects of computer-based clinical decision support systems on physician performance and patient outcomes: a systematic review." Jama 280.15 (1998): 1339-1346. Bures, Sergio, et al. "Computer keyboards and faucet handles as reservoirs of nosocomial pathogens in the intensive care unit." American journal of infection control 28.6 (2000): 465-471. Fraenkel, David J., Melleesa Cowie, and Peter Daley. "Quality benefits of an intensive care clinical information system." Critical care medicine 31.1 (2003): 120-125. Massaut, Jacques, and Pascal Reper. "Open source electronic health record and patient data management system for intensive care." Studies in health technology and informatics 141 (2007): 139-145. What is the importance of critical care application?Advantages of Critical Care Information System
Creates trends analysis with graphical representation of results. Offline stimulation can be performed to test the condition of the patients. Providing feedback and quick evaluation of the patient condition and provides alert.
Is an area of expertise within nursing that focus specifically with human responses to life threatening problems?Critical care nursing is the specialty within nursing that deals specifically with human responses to life-threatening problems1. These problems deal dynamically with human responses to actual or potential life-threatening illnesses.
What system that directly assist health care providers in interpretation of data and in making clinically related decision?Clinical decision support systems (CDSS) are computer-based programs that analyze data within EHRs to provide prompts and reminders to assist health care providers in implementing evidence-based clinical guidelines at the point of care.
Which document is used to convey the primary factors that guide nursing judgment regarding confidential patient information?Which document articulates the primary factors that guide professional nursing judgment, regarding confidential patient information? Administrative Simplification Provisions.
|