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Integrated computerized databases for medical data management beyond the bedside.

B J Leyerle1, M LoBue, M Shabot

  • 1Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, California.

International Journal of Clinical Monitoring and Computing
|April 1, 1990
PubMed
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A new computer system links patient data for Surgical Intensive Care Unit (SICU) patients, enabling analysis of illness severity, outcomes, and resource use. This supports cost-effective and medically effective patient care practices.

Area of Science:

  • Medical Informatics
  • Critical Care Medicine
  • Health Services Research

Background:

  • Clinical data management systems are often limited for multi-patient analysis.
  • Computers are increasingly used for direct patient care and data collection.
  • Effective analysis of critical care data is needed to understand patient outcomes and resource utilization.

Purpose of the Study:

  • To develop and implement a networked computer system for Surgical Intensive Care Unit (SICU) patient data.
  • To link clinical, administrative, and outcome data for comprehensive patient analysis.
  • To evaluate the relationship between illness severity, patient outcomes, and critical care resource utilization.

Main Methods:

  • Developed a network of computer systems linking various hospital data sources for SICU patients.

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  • Accumulated comprehensive data on 6,755 SICU patients over 3 years using a Patient Data Management System (PDMS).
  • Constructed linkages to hospital systems and databases for multi-parameter trend analysis.

    • Main Results:

    • Established comprehensive data on 6,755 SICU patients and 18,394 days of care.
    • Enabled trend construction for illness severity, severity-adjusted survival, and resource utilization (census, bed, nursing).
    • Demonstrated the value of data linkages in evaluating patient care practices.

    Conclusions:

    • Networked data linkages provide valuable insights into SICU patient care.
    • This system supports the documentation of cost-effective and medically effective patient care.
    • Integrated data analysis is crucial for optimizing critical care resource management and patient outcomes.