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Related Experiment Videos

Computers in the ICU: panacea or plague?

T D East1

  • 1LDS Hospital, Salt Lake City, UT 84143.

Respiratory Care
|February 1, 1992
PubMed
Summary

Computer systems in intensive care units (ICUs) are not widely adopted due to cost justification issues. Future systems must integrate data and provide decision support to improve patient care quality and reduce costs.

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Area of Science:

  • Medical Informatics
  • Critical Care Medicine

Background:

  • Computers were introduced to intensive care units (ICUs) in the 1960s to manage large patient data volumes.
  • Despite technological advancements, computer adoption in US ICUs remains slow, primarily due to challenges in cost-benefit justification for data charting and care plan generation systems.

Purpose of the Study:

  • To analyze the slow adoption of computer systems in US ICUs.
  • To identify key factors hindering cost-benefit justification for current ICU computer systems.
  • To explore the potential of advanced computer systems in improving ICU patient care and reducing costs.

Main Methods:

  • Review of the historical development and current state of computer systems in ICUs.
  • Analysis of challenges in cost-benefit justification for commercial ICU systems.
  • Examination of research demonstrating the impact of integrated databases, decision support, and advanced user interfaces.

Main Results:

  • Existing commercial ICU computer systems excel at data charting but lack conclusive proof of a favorable cost-benefit ratio.
  • Research systems incorporating integrated databases, decision support, and advanced interfaces show potential for significant improvements in care quality and cost reduction.
  • The slow adoption is linked to the inability of current systems to move beyond basic data management.

Conclusions:

  • Future ICU computer systems must evolve beyond data display to actively assist clinicians in data assimilation and decision-making.
  • Integrating advanced features like decision support and automated data acquisition is crucial for widespread ICU computer adoption.
  • Enhanced computer systems have the potential to significantly improve the quality and reduce the costs of critical care.

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