Gardner R M, Hawley W L, East T D, Oniki T A, Young H F
Department of Medical Informatics, LDS Hospital/University of Utah, Salt Lake City.
Proc Annu Symp Comput Appl Med Care. 1991:813-7.
Care of the acutely ill patient requires rapid acquisition, recording and communications of data. In the modern hospital it is not unusual for a patient to be connected to several monitoring and recording devices simultaneously. Each of these devices is typically made by a different manufacturer who may specialize in one sort of measurement, for example, pulse oximetry. Most of the modern monitoring and recording devices are micro-processor based and have communications capabilities. Unfortunately, there is no operable standard communications technology available from all devices. In addition different clinical staff (physicians, nurses, or respiratory therapists) may be responsible for collecting data. As a result there is a need to develop methods, standards, and strategies for timely and automatic collection of data from these monitoring and recording devices. We report on more than 5 years of clinical experience of automated ICU data collection using a prototype of the Medical Information Bus (MIB).
对急重症患者的护理需要快速获取、记录和传达数据。在现代医院中，患者同时连接到多个监测和记录设备的情况并不罕见。这些设备中的每一个通常由不同的制造商生产，他们可能专注于一种测量，例如脉搏血氧饱和度测量。大多数现代监测和记录设备都是基于微处理器的，并且具有通信能力。不幸的是，并非所有设备都有可用的可操作标准通信技术。此外，不同的临床工作人员（医生、护士或呼吸治疗师）可能负责收集数据。因此，需要开发从这些监测和记录设备中及时自动收集数据的方法、标准和策略。我们报告了使用医疗信息总线（MIB）原型进行自动重症监护病房（ICU）数据收集超过5年的临床经验。
