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小儿重症监护中的机械通气与决策支持

Mechanical Ventilation and Decision Support in Pediatric Intensive Care.

作者信息

Newth Christopher John L, Khemani Robinder G, Jouvet Philippe A, Sward Katherine A

机构信息

Anesthesiology and Critical Care Medicine, University of Southern California, Children's Hospital Los Angeles, MS #12, PICU Administration, 4650 Sunset Boulevard, Los Angeles, CA 90027, USA.

Anesthesiology and Critical Care Medicine, University of Southern California, Children's Hospital Los Angeles, MS #12, PICU Administration, 4650 Sunset Boulevard, Los Angeles, CA 90027, USA.

出版信息

Pediatr Clin North Am. 2017 Oct;64(5):1057-1070. doi: 10.1016/j.pcl.2017.06.006. Epub 2017 Aug 18.

Abstract

Respiratory support is required in most children in the pediatric intensive care unit. Decision-support tools (paper or electronic) have been shown to improve the quality of medical care, reduce errors, and improve outcomes. Computers can assist clinicians by standardizing descriptors and procedures, consistently performing calculations, incorporating complex rules with patient data, and capturing relevant data. This article discusses computer decision-support tools to assist clinicians in making flexible but consistent, evidence-based decisions for equivalent patient states.

摘要

大多数儿科重症监护病房的儿童都需要呼吸支持。决策支持工具(纸质或电子)已被证明可提高医疗质量、减少错误并改善治疗结果。计算机可以通过规范描述符和程序、持续进行计算、将复杂规则与患者数据相结合以及收集相关数据来协助临床医生。本文讨论计算机决策支持工具,以帮助临床医生针对同等患者状态做出灵活但一致的、基于证据的决策。

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