105u2005effects of a specifically-designed intensive care information system length of stay and mortality - visualiser

Intensive Care Unit information system (ICIS)
There are many advantages.
It allows the collection of data for all patients in "computer files.
The automatic acquisition of data reduces human error, and computer-based doctor order entry limit errors during medication.
Create a clinical decision support system with computerized data for diagnostic optimization and tracking
The treatment is over.
The purpose of this study was to evaluate the impact of personalized ICIS on mortality in critically ill patients and length of stay in intensive care units (ICU).
Materials and methods for multi-disciplinary ICU system selection (12 beds)of Pitie-
The Salpetriere hospital in Paris is project meta vision (
IMDsoft Tel Aviv, Israel).
It is an adjustable system that provides the possibility to completely reformat and adjust according to specific requirements.
A team of doctors, nurses, auxiliary nurses and monitors was trained for 2 weeks to use the program.
Then, within 1 month prior to implementation, ICIS personalizes the unit.
After defining the various clinical, biological and radiological parameters that are indispensable for diagnosis and follow-up
In the case of acute respiratory disease, hemodynamic, kidney and liver failure, the screen was created to integrate the relevant parameters in the form of tables and graphs.
These screens enable all the relevant elements to be combined together, but also allow for visualization of their evolution over time.
We compared the simplified scores of Acute Physiology (SAPS II)
Evaluation of sequential organ failure (SOFA)
At the time of the patient's admission, the patient's length of stay in the ICU and the death rate of two persons over the age of 6
Month period: Before the implementation of the yuan vision from June to November 2008, after the implementation from March to August 2009.
Comparison of data between groups by Mann-Whitney test (
Median and IQR 25-75%And carried out the X2 test.
The first 3 months after the implementation of meta-vision were not taken into account to rule out the difficulties inherent in the implementation of the new computerized system.
Results from June to November 2008, 100 patients were hospitalized and 160 patients were hospitalized from November 2009.
There was no difference in saps ii and SOFA scores between the two groups :(SAPS II: 39 (26–54)vs 44 (28–59), p=0. 7, SOFA: 6 (3–10)vs 6 (4–10), p=0. 49).
After the implementation of meta vision, the hospital stay in the intensive care unit was shortened by 2 days: 9 (5–20)versus 7 (3. 5–14), p=0. 02.
The downward trend in mortality is from 17% to 14 years old. 5%, p=0. 6.
The interest in discussing the system we choose is its adaptability, its ability to combine on the same screen (
"Clinical decision support screen ")
A large amount of clinical, biological or radiology data.
These screens can evaluate the treatment of organ failure in patients.
ICIS is able to optimize the care of patients, which may explain the shortened stay time of patients in ICU.
It overcomes the usual limitations of ICIS, including incomplete adaptation to specific medical needs.
Conclusion.
The intensive care information system designed can improve patient care and shorten ICU stay.
It requires a lot of investment from doctors in learning projects and creating personalized diagnostic and follow-up help tools.
This also requires close cooperation between doctors and computer scientists.
This paper introduces the "information" service of "information.
Elle permet de rasseadeer dans le profile information, patients with toutes les donne es des.
The acquisition of donneées diminue l. erreur humaine's car, as well as the logs restricting prescription management.
Grce aux données informées, la créné é a é d é a é s é optioné s é
However, the impact of information technology, personalized services and animation.
Selection of materials and methods Information Services website (12 lits)
Métavision (
IMDsoft Tel Aviv, Israel).
A modular Ce system.
Il est riveravec la possibilité complètement grounds and et des besoins adapte en fontion du services for the figure of Parliament.
Doctor, infirmary, assistant --
Soigants surveillants a é t é et e semaines au logiciel pendant deux.
Puis pendant un mois le profile été pioneer factory for personalized service.
L'accent a é té sur la cr é ation d' "diagnosis of é crans mis insuffisants au ".
Apres avoir d'éfini les paramparam essential diagnostic and diagnostic costs for clinical, biological and radiology Esther E.
Elres Orris de Ossie de viviser de dean de temps.
Nous avons comparé les high score d' Indice de gravité Simplifi é (IGS)
D. organe (SOFA)
Six films, six movies: avant-garde implants, Zhu En's implant, 2008, and Mars implant, 2009, admit.
Par test for Les deux group and analysts in patientsWhitney (
Médiane et 25-75%)
De Chi-test2.
Les trois Prime Minister suivant moisé tén'ont pas pris la mise en place du système en compte inhérentes exclure pour les difficésà la mise en place d'un nouveau syst me.
Results: 2008 and 160 of hospitalized patients were 2009 and, respectively.
Group 2: d. gs and de SOFA n' taient pas [Les score]IGS: 39 (26–54)vs 44 (28–59), p=0. 7; SOFA: 6 (3–10)vs 6 (4–10), p=0. 49].
Shangri-La stretches d'hospitalisation en réanimation raccourcaie à ete after skiing in the journal l'implanation all logiciel: Month (5–20)vs 7 (3. 5–14), p=0. 02.
La mortalité est paside 17% à 14. 5%, p=0. 6.
Discuss l'int é r é t du system 'Me que avons choisi est sa plasticité, sa capacity é a regroupéné mécran'
Cesé crans permeates the prevention and evaluation of patients.
L information permet d'optimer gave a detailed explanation to the patients.
The information system of Les limit sorte Parris Medix and Doon Parris Beso Medix.
Conclusion l'information personalisé e permet d'un service d'Am é liorer et de la duré e de Sé jour raccourciir en r é animation in the care of patients.
The Elle nécessite United Nations investigated an important part of the médeci people and made a personal diagnosis of them.
Elle requiert aussi une collaboration center and hospital information center.
Introduction to intensive care information system (ICIS)
There are many advantages.
It allows the collection of data for all patients in "computer files.
The automatic acquisition of data reduces human error, and computer-based doctor order entry limit errors during medication.
Create a clinical decision support system with computerized data for diagnostic optimization and tracking
The treatment is over.
The purpose of this study was to evaluate the impact of personalized ICIS on mortality in critically ill patients and length of stay in intensive care units (ICU).
Materials and methods for multi-disciplinary ICU system selection (12 beds)of Pitie-
The Salpetriere hospital in Paris is project meta vision (
IMDsoft Tel Aviv, Israel).
It is an adjustable system that provides the possibility to completely reformat and adjust according to specific requirements.
A team of doctors, nurses, auxiliary nurses and monitors was trained for 2 weeks to use the program.
Then, within 1 month prior to implementation, ICIS personalizes the unit.
After defining the various clinical, biological and radiological parameters that are indispensable for diagnosis and follow-up
In the case of acute respiratory disease, hemodynamic, kidney and liver failure, the screen was created to integrate the relevant parameters in the form of tables and graphs.
These screens enable all the relevant elements to be combined together, but also allow for visualization of their evolution over time.
We compared the simplified scores of Acute Physiology (SAPS II)
Evaluation of sequential organ failure (SOFA)
At the time of the patient's admission, the patient's length of stay in the ICU and the death rate of two persons over the age of 6
Month period: Before the implementation of the yuan vision from June to November 2008, after the implementation from March to August 2009.
Comparison of data between groups by Mann-Whitney test (
Median and IQR 25-75%And carried out the X2 test.
The first 3 months after the implementation of meta-vision were not taken into account to rule out the difficulties inherent in the implementation of the new computerized system.
Results from June to November 2008, 100 patients were hospitalized and 160 patients were hospitalized from November 2009.
There was no difference in saps ii and SOFA scores between the two groups :(SAPS II: 39 (26–54)vs 44 (28–59), p=0. 7, SOFA: 6 (3–10)vs 6 (4–10), p=0. 49).
After the implementation of meta vision, the hospital stay in the intensive care unit was shortened by 2 days: 9 (5–20)versus 7 (3. 5–14), p=0. 02.
The downward trend in mortality is from 17% to 14 years old. 5%, p=0. 6.
The interest in discussing the system we choose is its adaptability, its ability to combine on the same screen (
"Clinical decision support screen ")
A large amount of clinical, biological or radiology data.
These screens can evaluate the treatment of organ failure in patients.
ICIS is able to optimize the care of patients, which may explain the shortened stay time of patients in ICU.
It overcomes the usual limitations of ICIS, including incomplete adaptation to specific medical needs.
Conclusion.
The intensive care information system designed can improve patient care and shorten ICU stay.
It requires a lot of investment from doctors in learning projects and creating personalized diagnostic and follow-up help tools.
This also requires close cooperation between doctors and computer scientists.
This paper introduces the "information" service of "information.
Elle permet de rasseadeer dans le profile information, patients with toutes les donne es des.
The acquisition of donneées diminue l. erreur humaine's car, as well as the logs restricting prescription management.
Grce aux données informées, la créné é a é d é a é s é optioné s é
However, the impact of information technology, personalized services and animation.
Selection of materials and methods Information Services website (12 lits)
Métavision (
IMDsoft Tel Aviv, Israel).
A modular Ce system.
Il est riveravec la possibilité complètement grounds and et des besoins adapte en fontion du services for the figure of Parliament.
Doctor, infirmary, assistant --
Soigants surveillants a é t é et e semaines au logiciel pendant deux.
Puis pendant un mois le profile été pioneer factory for personalized service.
L'accent a é té sur la cr é ation d' "diagnosis of é crans mis insuffisants au ".
Apres avoir d'éfini les paramparam essential diagnostic and diagnostic costs for clinical, biological and radiology Esther E.
Elres Orris de Ossie de viviser de dean de temps.
Nous avons comparé les high score d' Indice de gravité Simplifi é (IGS)
D. organe (SOFA)
Six films, six movies: avant-garde implants, Zhu En's implant, 2008, and Mars implant, 2009, admit.
Par test for Les deux group and analysts in patientsWhitney (
Médiane et 25-75%)
De Chi-test2.
Les trois Prime Minister suivant moisé tén'ont pas pris la mise en place du système en compte inhérentes exclure pour les difficésà la mise en place d'un nouveau syst me.
Results: 2008 and 160 of hospitalized patients were 2009 and, respectively.
Group 2: d. gs and de SOFA n' taient pas [Les score]IGS: 39 (26–54)vs 44 (28–59), p=0. 7; SOFA: 6 (3–10)vs 6 (4–10), p=0. 49].
Shangri-La stretches d'hospitalisation en réanimation raccourcaie à ete after skiing in the journal l'implanation all logiciel: Month (5–20)vs 7 (3. 5–14), p=0. 02.
La mortalité est paside 17% à 14. 5%, p=0. 6.
Discuss l'int é r é t du system 'Me que avons choisi est sa plasticité, sa capacity é a regroupéné mécran'
Cesé crans permeates the prevention and evaluation of patients.
L information permet d'optimer gave a detailed explanation to the patients.
The information system of Les limit sorte Parris Medix and Doon Parris Beso Medix.
Conclusion l'information personalisé e permet d'un service d'Am é liorer et de la duré e de Sé jour raccourciir en r é animation in the care of patients.
The Elle nécessite United Nations investigated an important part of the médeci people and made a personal diagnosis of them.
Elle requiert aussi une collaboration center and hospital information center.