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Related Concept Videos

Guidelines and Strategies for Safe Computer Charting01:18

Guidelines and Strategies for Safe Computer Charting

The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
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Design Example01:23

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The innovation of touch-tone telephony revolutionized the telecommunications industry by replacing the traditional rotary dial with a dual-tone multi-frequency (DTMF) signaling system. This system uses a matrix-style keypad with buttons arranged in four rows and three columns, creating 12 distinct signals each assigned to a pair of frequencies. Each button press results in a simultaneous generation of two sinusoidal tones – one from a low-frequency group (697 to 941 Hz) and one from a...

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Computer protocols: how to implement.

A H Morris1, E Hirshberg, K A Sward

  • 1Pulmonary and Critical Care Divisions, Departments of Medicine, LDS Hospital, Intermountain Medical Center, University of Utah School of Medicine, Salt Lake City, UT USA. alan.morris@imail.org

Best Practice & Research. Clinical Anaesthesiology
|May 20, 2009
PubMed
Summary
This summary is machine-generated.

Clinical decision-support tools standardize care by using explicit computer protocols. This approach enhances replicability and control in patient management, as demonstrated by blood glucose management protocols.

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Area of Science:

  • Clinical Informatics
  • Health Services Research
  • Medical Decision Making

Background:

  • Clinical practice variations introduce errors and hinder research replicability.
  • Standardizing clinical interventions is crucial for improving patient care and research outcomes.
  • Decision-support tools offer a method to standardize clinical care through explicit protocols.

Purpose of the Study:

  • To explore the role of decision-support tools in standardizing clinical practice.
  • To highlight the benefits of methodologic replicability in clinical interventions.
  • To present a clinician-driven approach to developing computer protocols for patient management.

Main Methods:

  • Development and implementation of explicit, replicable computer protocols for patient management.
  • Focus on around-the-clock implementation to account for patient history and state.
  • Utilizing three successful computer protocols for blood glucose management as examples.

Main Results:

  • Computer protocols enable patient-specific decisions and introduce process control in clinical care.
  • Methodologic replicability enhances signal detection by increasing signal and reducing noise.
  • Clinician-driven "bottom-up" protocol development complements traditional "top-down" IT approaches.

Conclusions:

  • Decision-support tools, through explicit computer protocols, can standardize clinical practice and improve control.
  • Replicable methods are essential for reliable clinical research and consistent patient care.
  • A clinician-driven approach is effective for developing robust patient management protocols.