Multidisciplinary Epidemiology and Translational Research in Intensive Care (METRIC) Mayo Clinic, Rochester, MN 55905, USA.
Bosn J Basic Med Sci. 2009 Oct;9 Suppl 1(Suppl 1):S34-S39. doi: 10.17305/bjbms.2009.2752.
Medical Informatics has become an important tool in modern health care practice and research. In the present article we outline the challenges and opportunities associated with the implementation of electronic medical records (EMR) in complex environments such as intensive care units (ICU). We share our initial experience in the design, maintenance and application of a customized critical care, Microsoft SQL based, research warehouse, ICU DataMart. ICU DataMart integrates clinical and administrative data from heterogeneous sources within the EMR to support research and practice improvement in the ICUs. Examples of intelligent alarms -- "sniffers", administrative reports, decision support and clinical research applications are presented.
医学信息学已成为现代医疗保健实践和研究的重要工具。本文概述了在重症监护病房(ICU)等复杂环境中实施电子病历(EMR)所面临的挑战和机遇。我们分享了在设计、维护和应用基于 Microsoft SQL 的定制重症监护研究仓库 ICU DataMart 方面的初步经验。ICU DataMart 整合了 EMR 中异构来源的临床和管理数据,以支持 ICU 中的研究和实践改进。本文还介绍了智能警报(“嗅探器”)、管理报告、决策支持和临床研究应用等示例。