Seiver A
Department of Surgery, Stanford School of Medicine, California, USA.
Crit Care Clin. 2000 Oct;16(4):601-21. doi: 10.1016/s0749-0704(05)70136-6.
With rapidly increasing processing power, networks, and bandwidth, we have ever more powerful tools for ICU computing. The challenge is to use these tools to build on the work of the Innovators and Early Adopters, who pioneered the first three generations of systems, and extend computing to the Majority, who still rely on paper. What is needed is compelling evidence that these systems reduce cost and improve quality. The experience of other industries suggests that we need to address fundamental issues, such as clinical organization, roles, behavior, and incentives, before we will be able to prove the benefits of computing technology. When these preconditions are met, the promise of computing will be realized, perhaps with the upcoming fourth-generation systems. ICU computing can then finally cross the chasm and become the standard of care.
随着处理能力、网络和带宽的迅速增长，我们拥有了功能越来越强大的重症监护室（ICU）计算工具。挑战在于利用这些工具，在开创了前三代系统的创新者和早期采用者的工作基础上，将计算扩展到仍依赖纸质记录的大多数人。我们需要有令人信服的证据证明这些系统能够降低成本并提高质量。其他行业的经验表明，在我们能够证明计算技术的益处之前，我们需要解决一些基本问题，如临床组织、角色、行为和激励措施等。当这些先决条件得到满足时，计算的前景或许将随着即将出现的第四代系统得以实现。届时，ICU计算最终能够跨越鸿沟，成为护理标准。
