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Novel Representation of Clinical Information in the ICU

Journal: Applied Clinical Informatics
ISSN: 1869-0327
DOI: https://doi.org/10.4338/ACI-2009-12-CR-0027
Issue: Vol. 1: Issue 2 2010
Pages: 116-131

Novel Representation of Clinical Information in the ICU

Developing User Interfaces which Reduce Information Overload

Case Report

B. W. Pickering (1, 2), V. Herasevich (2, 3), A. Ahmed (2), O. Gajic (2, 3)

(1) Department of Anesthesiology, Division of Pulmonary and Critical Care Medicine, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905; (2) Multidisciplinary Epidemiology and Translational Research in Intensive Care (METRIC), Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905; (3) Department of Internal Medicine, Division of Pulmonary and Critical Care Medicine, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905

Keywords

Medical error, ambient intelligence, Safety, EMR, ICU, NASA-TLX

Summary

The introduction of electronic medical records (EMR) and computerized physician order entry (CPOE) into the intensive care unit (ICU) is transforming the way health care providers currently work. The challenge facing developers of EMR’s is to create products which add value to systems of health care delivery. As EMR’s become more prevalent, the potential impact they have on the quality and safety, both negative and positive, will be amplified. In this paper we outline the key barriers to effective use of EMR and describe the methodology, using a worked example of the output. AWARE (Ambient Warning and Response Evaluation), is a physician led, electronic-environment enhancement program in an academic, tertiary care institution’s ICU. The development process is focused on reducing information overload, improving efficiency and eliminating medical error in the ICU.

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