Computerized management of patient care in a complex, controlled clinical trial in the intensive care unit.
Computerized management of patient care in a complex, controlled clinical trial in the intensive care unit.
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在重症监护病房进行复杂的受控临床试验，对患者护理进行计算机化管理。
DOI：
10.1016/0169-2607(89)90060-6
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发表时间：
1987
影响因子：
6.1
通讯作者：
E. Beck
中科院分区：
文献类型：
--
作者：
Dean F. Sittig;R. Gardner;N. Pace;A. Morris;E. Beck
急性呼吸窘迫综合征（ARDS）通常对常规支持治疗无效，死亡率可超过90%。一种新形式的支持性护理，体外二氧化碳清除（ECCO2R），已显示出生存率的显着增加（48%）。一项新的ECCO2R疗法与传统持续正压通气（CPPV）的对照临床试验正在启动。详细的护理协议已经由“专家”重症监护医生制定，用于患者的管理。使用黑板控制架构，协议已在现有的医院信息系统上实现，并将指导患者护理和帮助管理对照临床试验。治疗指令由计算机根据医生、护士、呼吸治疗师和实验室输入的数据自动生成。初步结果表明，计算机化的协议系统可以指导急性病患者的治疗。
Acute respiratory distress syndrome (ARDS) is often not responsive to conventional supportive therapy and the mortality rate may exceed 90%. A new form of supportive care, extracorporeal carbon dioxide removal (ECCO2R), has shown a dramatic increase in survival (48%). A controlled clinical trial of the new ECCO2R therapy versus conventional continuous positive pressure ventilation (CPPV) is being initiated. Detailed care protocols have been developed by ‘expert’ critical care physicians for the management of patients. Using a blackboard control architecture, the protocols have been implemented on an existing hospital information system and will direct patient care and help manage the controlled clinical trial. Therapeutic instructions are automatically generated by the computer from data input by physicians, nurses, respiratory therapists, and the laboratory. Preliminary results show that the computerized protocol system can direct therapy for acutely ill patients.
临床试验建议系统的知识工程：发现方案规范中的错误。
影响因子：
1.2
作者：
Musen,MA;Rohn,JA;Fagan,LM;Shortliffe,EH
通讯作者：
Shortliffe,EH