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Related Experiment Videos

Clinical information systems in intensive care.

D J Fraenkel1

  • 1Intensive Care Facility, Royal Brisbane Hospital, Brisbane, Queensland fraenkeld@health.qld.gov.au Australia.

Critical Care and Resuscitation : Journal of the Australasian Academy of Critical Care Medicine
|April 11, 2006
PubMed
Summary

Clinical information systems (CIS) are vital for critical care but require further development for optimal performance. Collaboration between industry and clinicians is key to advancing these essential healthcare technologies.

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Area of Science:

  • * Critical care medicine
  • * Health informatics
  • * Information technology in healthcare

Background:

  • * Critical care environments present unique challenges for information management.
  • * Clinical information systems (CIS) have been developed to enhance data handling in critical care.
  • * Early adoption in critical care has driven CIS development and implementation.

Purpose of the Study:

  • * To review the essential requirements and functionalities of clinical information systems (CIS) specifically for critical care settings.
  • * To assess the current state and future needs of CIS in intensive care units.
  • * To identify challenges and opportunities in CIS implementation within critical care.

Main Methods:

  • * A comprehensive literature review of peer-reviewed studies and articles.

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  • * Data sourced from MEDLINE searches and reference lists of relevant publications.
  • * Timeframe for reviewed literature: 1990-1998.

    • Main Results:

    • * Bedside charting functions in CIS are well-developed and successful.
    • * Electronic medico-legal record keeping and advanced decision support require further development.
    • * Seamless integration with other hospital systems is crucial but hindered by a lack of technical standards.
    • * CIS databases are vital for quality improvement, research, and reporting but are resource-intensive to develop and customize.
    • * Implementation is costly in terms of human and material resources.

    Conclusions:

    • * A high-performance, 'off-the-shelf' CIS is not yet available.
    • * Close collaboration between healthcare technology industry and clinicians is essential for successful CIS implementation.
    • * Increased clinical awareness of CIS capabilities and limitations will drive product development and informed purchasing decisions.