de Calonne P G, Hornaday L, Schmitt P, Stanford J R
Heart Lung. 1983 Sep;12(5):516-21.
A microcomputer was programmed by ICU personnel to serve as a ready-reference manual data organizer, and source of continuing education. All members of the ICU staff can use the system at any time and no prior training in computer technology is required. Ten programs dealing with common clinical situations are in use, including arterial blood gas analysis, electrolyte analysis, differential diagnosis of shock, adverse drug interactions, inotrope calculations and infusion rates, ventilator management and trouble-shooting, management of intravenous hyperalimentation, derived cardiovascular variables, and coronary risk factor analysis and management. Medication errors have almost been eliminated with use of the computer. Total cost of the system is less than $5000.
一台微型计算机由重症监护室人员进行编程,用作随时可供参考的手册数据整理器以及继续教育资源。重症监护室的所有工作人员都可随时使用该系统,且无需事先接受计算机技术培训。目前正在使用十个处理常见临床情况的程序,包括动脉血气分析、电解质分析、休克的鉴别诊断、药物不良反应相互作用、强心药计算及输注速率、呼吸机管理与故障排除、静脉高营养管理、衍生心血管变量以及冠心病危险因素分析与管理。使用计算机后,用药错误几乎已被消除。该系统的总成本不到5000美元。