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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: Rational use of computerized protocols in the intensive care unit. | Available online http ccforum.eom content 5 5 249 Review Rational use of computerized protocols in the intensive care unit Alan H Morris LDS Hospital and University of Utah School of Medicine Salt Lake City USA Correspondence Alan H Morris MD ldamorri@ihc.com Published online 13 September 2001 Critical Care 2001 5 249-254 2001 BioMed Central Ltd Print ISSN 1364-8535 Online ISSN 1466-609X 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. Keywords decision-support intensive care protocols research safety Critical care decision-support tools can focus on diagnostic 1 administrative 2 or therapeutic needs. Decision-support tools have been functionally categorized as reminders consultants or educational 3 . These three categories do not embrace the intensive care unit ICU treatment management or titration protocols used to apply explicit methods of mechanical ventilation 4-6 and fluid and hemodynamic support 7 8 in patients with acute lung injury or acute respiratory distress syndrome ARDS . In this review I focus on these management or titration protocols and consider several rationales for the use of such explicit detailed computerized protocols in the ICU. I discuss the features of computerized ICU protocols that distinguish them from .
