基于计算机的ICU患者警报和决策支持系统

S. Gunawardane, R. Koggalage, R. Rodrigo, S. Rajapakse
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引用次数: 5

摘要

12.00 Normal 0 false false false EN-US X-NONE X-NONE /* Style Definitions */表。mso-style-name:"Table Normal";mso-tstyle-rowband-size: 0;mso-tstyle-colband-size: 0;mso-style-noshow:是的;mso-style-priority: 99;mso-style-qformat:是的;mso-style-parent:“”;mso- font - family:宋体;mso-para-margin: 0;mso-para-margin-bottom: .0001pt;mso-pagination: widow-orphan;字体大小:11.0分;字体类型:“Calibri”、“无衬线”;mso-ascii-font-family: Calibri;mso-ascii-theme-font: minor-latin;mso-fareast-font-family:宋体;mso-fareast-theme-font: minor-fareast;mso-hansi-font-family: Calibri;mso-hansi-theme-font: minor-latin;mso-bidi-font-family:宋体;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,许多人为因素会导致患者护理的不足和错误,例如工作时间长、压力大、人手不足,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,这样的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。我们开发了一个基于计算机的模型,它是一个综合解决方案,可以根据多个参数变化识别患者不良事件,然后根据可能导致参数变化的临床情况提供预测性治疗建议。拟议的系统遵循一个互动的沟通周期,以便正确地通知不同责任层次的负责治疗医生。我们的模型能够早期识别不良状况并提供合适的治疗建议,从而作为辅助治疗医生的决策支持系统。DOI: 10.4038 / sljcc.v1i1.942
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Computer-Based ICU Patient Alert And Decision Support System
12.00 Normal 0 false false false EN-US X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;} The safety of critically ill patients in intensive care units is an important aspect of medical care. Many human factors contribute to deficiencies 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, and not on the relationship between multiple parameter variations. We developed a computer-based model is an integrated solution which identifies adverse patient events based on multiple parameter variations, and then provides predictive treatment suggestions based on the likely clinical conditions which result in the parameter variations. The proposed system follows an interactive communication cycle in order to properly notify the responsible treating physicians at different tiers of responsibility. Our model is capable of early identification of adverse conditions and providing suitable treatment suggestions, thus acting as a decision support system to assist the treating physician. DOI: 10.4038/sljcc.v1i1.942
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