POINT-OF-CARE DECISION SUPPORT FOR NURSING

护理点护理决策支持

• 批准号: 6141400
• 负责人: Richard S Moberg
• 金额: $ 10万
• 依托单位: MOBERG RESEARCH, INC.
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-09-01 至 2001-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6141400
• 关键词: Internet; computer human interaction; computer program /software; computer system design /evaluation; data management; decision making; informatics; nursing care; nursing process; patient care management

Our hypothesis is that we can increase the effectiveness of nursing by providing, at the bedside, information needed to manage the patient. Currently there are vital signs and a patient chart at the bedside. However, there is a growing list of other information that is necessary for effective care such as treatment protocols, how to operate a device, hospital policies, recent literature on a clinical problem, etc. The Phase I work will be to implement and evaluate a demonstration prototype system initially focusing on the information needs of a neuro intensive care unit. Our approach to the problem is to develop an open standard for the electronic representation and interchange of different types of bedside information. We will then develop software for reading this standard and a common, easy-to-use, user interface. Users of the system would "subscribe" to information which "publishers" would produce in this standard. The benefits of such a standard to the information users and providers are significant. For example, the system can instantly deliver new treatment protocols to the bedside significantly reducing the time between development of treatments and their clinical application. PROPOSED COMMERCIAL APPLICATIONS: Developing an open bedside information standard will not generate revenues in itself, however, it will provide a significant opportunity for the sale of software tools, display software, and content. As the initial system on the market to address this problem , we would have an advantage. Revenues from the information presentation software would be approximately $3.5 million per year (5% penetration of neuro, cardiac, neonatal/pediatric ICU beds).

我们的假设是，我们可以通过在床边提供管理患者所需的信息来提高护理的有效性。目前有生命体征和病人图表在床边。然而，有越来越多的其他信息，是必要的有效的护理，如治疗方案，如何操作的设备，医院的政策，最近的文献上的临床问题，等第一阶段的工作将是实施和评估一个示范原型系统，最初侧重于神经重症监护病房的信息需求。我们解决这个问题的方法是制定一个开放的标准，用于电子表示和交换不同类型的床边信息。然后，我们将开发用于阅读该标准的软件以及通用、易于使用的用户界面。该系统的用户将“订阅”“出版商”在本标准中提供的信息。这种标准对信息使用者和提供者的好处是巨大的。例如，该系统可以立即向床边提供新的治疗方案，大大缩短了治疗开发与临床应用之间的时间。拟议的商业应用：开发开放式床边信息标准本身不会产生收入，但是，它将为软件工具、显示软件和内容的销售提供重要机会。作为市场上解决这一问题的初始系统，我们将具有优势。信息呈现软件的收入每年约为350万美元（神经科、心脏科、新生儿/儿科ICU床位的5%渗透率）。