【体外膜肺ECMO精品课件】ICU Clinical Information Management System.pptVIP

ICU Clinical Information Management System An Investigation for a Pediatric Intensive Care Unit Steven Sousa Ann Thompson Background The patient record is a critical part of modern medical care Patient data is rarely consolidated in a format that supports good and efficient decision making As hospital care becomes more and more complex, the paper record becomes more and more inadequate “Putting it on Paper” What efficiencies would be realized if a medical facility would go “paperless”? Here are some interesting numbers for you: Flowsheet Paper chart Baby The ICU Patient ICU patients have rapidly changing disease, often on a background of complex chronic disorders, with life-threatening dysfunction of one or more vital organ systems Patient management is increasingly complex Average patient undergoes 12-25 laboratory tests per day, receives 5-15 different drugs, and 1-5 radiologic procedures Those Involved Multiple physician specialists sub-specialists, nurses, respiratory therapists, pharmacists, and multiple other health professionals Diagnosis typically involves extensive laboratory testing as well as radiologic procedures. Treatment requires multiple pharmaceutical agents as well as extensive mechanical systems Frequent reassessment requires immediate access to new information Children’s Hospital Info. System Desired Outcomes Integrate/Consolidate multiple paper charts and computerized databases Demographic data (ADT info) Integration with billing services Physiologic monitoring results Organ system support employed Laboratory, radiology, pathology testing results Pharmacy support (drug dosages, interactions, allergies, etc.) Desired Outcomes (Cont’d) Kardex function Integration with care paths Outcomes data for regulatory bodies Capability to display variety of outputs Adaptability to PICU Medical narrative: progress notes Formatted v. free text (speech recognition) Searchable text Vendors Analysis Eclipsys Ranking: 4.5 Cost: $1,499,000 + Clin