Patient alert and decision support system

T. S. F. W. Gunawardane, R. Koggalage, R. Rodrigo, S. Rajapakse
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引用次数: 3

Abstract

Safety of critically ill patients in intensive care units is an important aspect of medical care. There are many factors contributing to shortcomings and errors in patient care in the intensive care setting, such as long working hours, high levels of stress, lack of enough people, may cause human errors and affecting the effectiveness of the decisions of the physician. Several attempts have been made to increase the effectiveness of such decisions by issuing early alerts on adverse patient conditions. However, such alerts are based on single parameter variations but not on the relationship between multiple parameter variations. Thus, inability to provide an effective communication model causes a considerable bottleneck in intensive care unit (ICU) operations. The proposed model is an integrated solution which identifies the adverse patient conditions on multiple parameter variations and then provides predictive treatment suggestions on those identified conditions. It follows an interactive communication cycle in order to properly notify the responsible physicians. Results show that the system is capable of early identification of adverse conditions and providing suitable treatment suggestions compared to physicians themselves make decisions on same patient conditions.
患者警报和决策支持系统
重症监护病房危重病人的安全是医疗护理的一个重要方面。在重症监护环境中,有许多因素会导致患者护理的缺点和错误,例如工作时间长、压力大、人手不足,这些都可能导致人为错误并影响医生决策的有效性。已经进行了几次尝试,通过对病人的不利情况发出早期警报来提高这种决定的效力。然而,这种警报是基于单个参数变化,而不是基于多个参数变化之间的关系。因此,无法提供有效的沟通模式导致重症监护病房(ICU)操作的相当大的瓶颈。所提出的模型是一个集成的解决方案,它可以通过多个参数变化来识别患者的不良状况,然后针对这些已识别的状况提供预测性治疗建议。它遵循一个互动的沟通周期,以便正确地通知负责任的医生。结果表明,该系统能够较早地识别出患者的不良状况,并提供合适的治疗建议,而不是医生自己对相同的患者情况做出决定。
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