Scanning the horizon emerging hospital-wide technologies and their impact on critical care 英文参考文献.docVIP

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Scanning the horizon emerging hospital-wide technologies and their impact on critical care 英文参考文献.doc

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Scanning the horizon emerging hospital-wide technologies and their impact on critical care 英文参考文献

Critical Care February 2005 Vol 9 No 1 Suntharalingam et al. Commentary Scanning the horizon: emerging hospital-wide technologies and their impact on critical care Ganesh Suntharalingam1, Jonathan Cousins2, David Gattas3 and Martin Chapman4 1Consultant in Intensive Care Medicine and Anaesthesia, Northwick Park St Marks Hospitals, Harrow, UK 2Specialist Registrar in Anaesthesia and Intensive Care, Royal Marsden Hospital, London, UK 3Staff Specialist, Intensive Care Services, Royal Prince Alfred Hospital, Sydney, Australia 4Assistant Professor, University of Toronto, Sunnybrook Women’s College Health Sciences Centre, Toronto, Canada Corresponding author: Ganesh Suntharalingam, ganesh.suntharalingam@nwlh.nhs.uk Published online: 13 January 2005 Critical Care 2005, 9:12-15 (DOI 10.1186/cc3046) This article is online at /content/9/1/12 ? 2005 BioMed Central Ltd Abstract This commentary represents a selective survey of developments relevant to critical care. Selected themes include advances in point-of-care diagnostic testing, glucose control, novel microbiological diagnostics and infection control measures, and developments in information technology that have implications for intensive care. The latter encompasses an early example of an artificially intelligent clinical decision support mechanism, the introduction of a national health care information technology programme (UK NPfIT) and its implications, and exotic threats to patient safety due to emergent behaviour in complex information systems. Keywords glucose, health technology assessment, information technology, intensive care, point-of-care Introduction in-hospital diagnostics, which include both rapid access analysis of traditionally laboratory bound diagnostics and direct patient imaging. Both aspects are particularly relevant to critical care clinicians, who rely on time sensitive diagnosis and treatment in a hyper-acute setting. An example of bedside imaging in card