Decision Support Systems in Critical Care

I. Fundamentals.- 1. Medical Informatics and Desicion Support Systems in the Intensive Care Unit: State of the Art.- 2. Computers in Critical Care: A Historical Perspective.- 3. Physician Decision-Making: Evaluation of Data Used in a Computerized Intensive Care Unit.- 4. Development of Decision Support Systems.- 5. Decision Analysis: A Framework for Critical Care Decision Assistance.- II. Decision Support Data Links.- 6. Standardized Acquisition of Bedside Data: The IEEE P1073 Medical Information Bus.- 7. Real-Time Data Acquisition: Recommendations for the Medical Information Bus.- 8. A Common Reference Model for Healthcare Data Exchange: P1157 MEDIX System Architecture.- III. Clinical Alerting Tools.- 9. Development of a Computerized Laboratory Alerting System.- 10. Inferencing Strategies for Automated Alerts on Critically Abnormal Laboratory and Blood Gas Data.- 11. Decision Support Alerts for Clinical Laboratory and Blood Gas Data.- 12. Assessing the Effectiveness of a ComputerizedPharmacy System.- IV. Clinical Systems and Decision-Making.- 13. Clinical Decisions and Computers.- 14. Computerized Data Management and Decision Making in Critical Care.- 15. Performance of Computerized Protocols for the Management of Arterial Oxygenation in an Intersive Care Unit.- 16. Acuity of Illness and Risk Prediction in Critically I11 Adults: The APACHE III Intensive Care Unit Management System.- 17. Automatic Extraction of Intensity-Intervention Scores From a Computerized Surgical Intensive Care Unit Flowsheet.- 18. Quality Assurance and Utilization Assessment: The Major By-Products of an Intensive Care Unit Clinical Information System.- 19. Nursing Decision Support: The Challenges Facing Nursing in Regard to Computerization.- 20. Anesthesia Support Systems.- 21. The Role of Smart Medical Systems in the Space Station.- V. Conclusions.- 22. The Why, What, and So What of Computers in the Intensive Care Unit.- 23. A Strategy for Development of Computerized Critical Care