Clinical information systems and the electronic medical record in the intensive care unit

Current Opinion in Critical Care

Volumn 8, Issue 6, 2002, Pages 616-624

  Varon, Joseph ^a   Marik, Paul E ^b  

^a UNIVERSITY OF TEXAS   (United States)

^b UNIVERSITY OF PITTSBURGH   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AUTOMATION; CLINICAL PRACTICE; CLINICAL RESEARCH; ELECTRONIC MEDICAL RECORD; HEALTH CARE QUALITY; HISTORY OF MEDICINE; HUMAN; INTENSIVE CARE; INTENSIVE CARE UNIT; MEDICAL INFORMATICS; MEDICAL INFORMATION SYSTEM; ONLINE SYSTEM; PATIENT CARE; PRACTICE GUIDELINE; REVIEW; TREATMENT OUTCOME;

DECISION SUPPORT SYSTEMS, CLINICAL; HUMANS; INTENSIVE CARE UNITS; MEDICAL RECORDS SYSTEMS, COMPUTERIZED; MEDICATION SYSTEMS, HOSPITAL; SYSTEMS INTEGRATION; USER-COMPUTER INTERFACE;

EID: 0036892459     PISSN: 10705295     EISSN: None     Source Type: Journal    
DOI: 10.1097/00075198-200212000-00022     Document Type: Review

References (38)

1. Institute of Medicine: To Err is Human: Building a Safer Health Care System. Washington, DC: National Academy Press; 1999.
2. Bates DW, Spell N, Cullen DJ, et al.: The costs of adverse drug events in hospitalized patients. Adverse Drug Events Prevention Study Group. JAMA 1997, 277:307-311.
3. Classen DC, Pestotnik SL, Evans RS, et al.: Adverse drug events in hospitalized patients. Excess length of stay, extra costs, and attributable mortality. JAMA 1997, 277:301-306.
4. Clemmer TP, Gardner RM: Data gathering, analysis, and display in critical care medicine. Respir Care 1985, 30:586-601.
5. McDonald CJ: The barriers to electronic medical record systems and how to overcome them. J Am Med Inform Assoc 1997, 4:213-221.
6. Tegtmeyer K, Ibsen L, Goldstein B: Computer-assisted learning in critical care: From ENIAC to HAL. Crit Care Med 2001, 29:N177-N182. This article explores the use of computers in the critical care setting with the purpose of teaching house officers, nurses, and staff physicians.
7. Dorenfest SI: A look behind the rapid growth in healthcare IS. Healthc Inform 1997, 14:SS29-SS30.
8. Siegel JH, Fichthorn J, Monteferrante J, et al.: Computer-based consultation in "care" of the critically ill patient. Surgery 1976, 80:350-364.
9. Hilberman M, Kamm B, Tarter M, et al.: An evaluation of computer-based patient monitoring at pacific medical center. Comput Biomed Res 1975, 8:447-460.
10. Fromm RE Jr, Varon J, Sternbach GL: Emergency medicine cyberspace. J Emerg Med 1996, 14:91-92.
11. Hammond J, Johnson HM, Ward CG, et al.: Clinical evaluation of a computer-based patient monitoring and data management system. Heart Lung 1991, 20:119-124.
12. Dick RS, Steen EB (eds): The Computer Based Patient Record: An Essential Technology for Health Care. Washington, DC: National Academic Press; 1991.
13. Girotti MJ, Garrick C, Tierney MG, et al.: Medication administration errors in an adult intensive care unit. Heart Lung 1987, 16:449-453.
14. Brimm JE: Computers in critical care. Crit Care Nurs O 1987, 9:53-63.
15. White C, Hereby C: Automating the bedside. Healthc Inform 1997, 14:68.
16. Meyer C: Bedside computer charting: Inching toward tomorrow. Am J Nurs 1992, 92:38-44.
17. Lower MS, Nauert LB: Charting: The impact of bedside computers. Nurs Manag 1944, 23:40-42.
18. Pabst MK, Scherubel JC, Minnick AF: The impact of computerized documentation on nurses' use of time. Comput Nurs 1996, 14:25-30.
19. Montoya ID, Carlson JW: Point-of-care systems, informatics, and health care delivery. Health Care Superv 1996, 15:17-26.
20. Scalise D: Medication safety. Bar coding: The forgotten technology. Hospitals Health Netw 2002, 76:16.
21. Weinhold FE, Osborne J, Renes P, et al.: Tracking medication dispensed from a hospital pharmacy. Am J Health Syst Pharm 1992, 56:1190.
22. Zarowitz BJ, Petitta A, Rudis MI, et al.: Bar code documentation of pharmacotherapy services in intensive care units. Pharmacotherapy 1996, 16:261-266.
23. Bates DW, Leape LL, Cullen DJ, et al.: Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. JAMA 1998, 280:1311-1316. This is an important study that highlights the problems of medical errors and their reduction with a computerized order entry system.
24. Iregui M, Ward S, Sherman G, et al.: Clinical importance of delays in the initiation of appropriate antibiotic treatment for ventilator-associated pneumonia. Chest 2002, 122:262-268.
25. Kollef MH, Sherman G, Ward S, et al.: Inadequate antimicrobial treatment of infections: A risk factor for hospital mortality among critically ill patients. Chest 1999, 115:462-474.
26. Kollef MH: Inadequate antimicrobial treatment: An important determinant of outcome for hospitalized patients. Clin Infect Dis 2000, 31 (suppl 4):S131-S138.
27. Evans RS, Pestotnik SL, Classen DC, et al.: A computer assisted management program for antibiotics and other anti-infective agents. N Engl J Med 1998, 338:232-238. This is an outstanding study that highlights the benefits of a fully integrated decision-support CIS.
28. Kilgore ML, Flint D, Pearce R: The varying impact of two clinical information systems in a cardiovascular intensive care unit. J Cardiovasc Manag 1998, 9:31-35. This article shows how different CIS can be in a single ICU.
29. Badura FK: Nurse acceptance of a computerized arrhythmia monitoring system. Heart Lung 1980, 9:1044-1048.
30. Gibson SE, Rose MA: Managing computer resistance. Comput Nurs 1986, 4:201-204.
31. Pare G, Elam JJ, Ward CG: Implementation of a patient charting system: Challenges encountered and tactics adopted in a burn center. J Med Syst 1997, 21:49-66.
32. Curtis MD: Automated nursing documentation: A design perspective. Int J Clin Monit Comput 19B6, 3:199-209.
33. Kelly WJ, O'Brien J, Baartz S, et al.: Clinical information systems and quality of care in the intensive care unit. Medinfo 1995, 8:1042-1046.
34. Bates DW, Kuperman G, Teich JM: Computerized physician order entry and quality of care. Qual Manag Health Care 1994, 2:18-27.
35. Burkle T, Ammenwerth E, Prokosch HU, et al.: Evaluation of clinical information systems. What can be evaluated and what cannot? J Eval Clin Pract 2001, 7:373-385.
36. Staccini P, Joubert M, Quaranta JF, et al.: Modeling health care processes for eliciting user requirements: A way to link a quality paradigm and clinical information system design. Int J Med Inf 2001, 64:129-142.
37. Aranow M: What works: Clinical information systems. Order entry rules, Healthcare enterprise achieves physician acceptance, reduced medication errors and improved patient outcomes through CIS and CPOE technology. Health Manag Technol 2002, 23:34-38. This article shows the importance of CIS, including a definitive advantage in electronic ordering as well as patient outcomes.
38. Pare G: Implementing clinical information systems: A multiple-case study within a US hospital. Health Serv Manag Res 2002, 15:71-92. Epidemiologic case studies were conducted in a US hospital during the implementation of a variety of CIS.