Use of a software in the ICU

Abstract

In the continuum of the complex therapy process of a critically ill patient, the intensive care unit (ICU) period must be followed very meticulously because of the extremely data-intensive circumstances. Intensive care medicine is a lot more reliant on "numbers" than most of the other medical disciplines, and minor errors in the records may lead to wrong decisions, which may cause major harm to the patient. Manual records are prone to errors, inaccuracies and are time-consuming for both nurses maintaining them and physicians trying to interpret them, especially in patients with complex pathologies and long-term stays. Since the introduction of the first general-purpose computer, ENIAC (Electronic Numerical Integrator and Computer) in 1946, there have been attempts to integrate computers into medicine and in the last decades, we are witnessing the emergence of intensive care information systems (ICIS). ICIS has the potential to increase the quality and accuracy of the medical records, while also decreasing the incidence of medical errors. They present electronic decision support and tools for quality control and performance evaluation. More importantly, they allow a medium where the physician can easily assess the current condition of the patient from different perspectives. So far, the usage of ICIS has been limited due to high costs and some other factors. Although we are in a technologically advanced position today, it is still a challenge to implement an ICIS successfully. If not planned properly, it is a process prone to significant delays in time, additional costs, poor acceptance by the staff and even total failure. In this study, we are going to evaluate the past, present and future of intensive care information systems and share our experiences in implementing them.

Necesidades formativas de las enfermeras de cuidados intensivos en España

“…Los indicadores de calidad son considerados por nuestros entrevistados un elemento no fundamental del trabajo enfermero, comentarios como: "que es algo demorable" o "se hace cuando se puede" aparecen varias veces en sus discursos; aun así, se considera que se pierden muchos datos que podrían servir para mejorar la asistencia sanitaria y la realización de investigaciones que mejoren la calidad de los cuidados. Las enfermeras asistenciales no son tan conscientes, como sería deseable, de las recomendaciones sobre los indicadores de calidad propuestos por las sociedades científicas (280,281) , ni de la importancia de los datos recogidos en la historia clínica electrónica como fuente de información para lograr mejoras asistenciales (276,(282)(283)(284) . Pita et al (285) manifestaron que estos indicadores dan la oportunidad de ofrecer una respuesta precoz, observar desviaciones de la práctica habitual y servir de señales de alarma para mejorar los resultados.…”