A systematic review of near real-time and point-of-care clinical decision support in anesthesia information management systems
| Autor: | Allan F. Simpao, Michael A. Krall, Arul M. Lingappan, Sherry Morgan, Jorge A. Gálvez, Jonathan M. Tan |
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| Rok vydání: | 2016 |
| Předmět: |
Blood Glucose
Information management medicine.medical_specialty Information Management Anesthesia Dental Point-of-Care Systems Vital signs MEDLINE Health Informatics Documentation Critical Care and Intensive Care Medicine Clinical decision support system 03 medical and health sciences Postoperative Complications 0302 clinical medicine Anesthesiology 030202 anesthesiology Monitoring Intraoperative medicine Humans 030212 general & internal medicine Antibiotic prophylaxis Vital Signs business.industry Nausea Antibiotic Prophylaxis Decision Support Systems Clinical Management information systems Anesthesiology and Pain Medicine Anesthesia business Software |
| Zdroj: | Journal of Clinical Monitoring and Computing. 31:885-894 |
| ISSN: | 1573-2614 1387-1307 |
| DOI: | 10.1007/s10877-016-9921-x |
| Popis: | Anesthesia information management systems (AIMS) are sophisticated hardware and software technology solutions that can provide electronic feedback to anesthesia providers. This feedback can be tailored to provide clinical decision support (CDS) to aid clinicians with patient care processes, documentation compliance, and resource utilization. We conducted a systematic review of peer-reviewed articles on near real-time and point-of-care CDS within AIMS using the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols. Studies were identified by searches of the electronic databases Medline and EMBASE. Two reviewers screened studies based on title, abstract, and full text. Studies that were similar in intervention and desired outcome were grouped into CDS categories. Three reviewers graded the evidence within each category. The final analysis included 25 articles on CDS as implemented within AIMS. CDS categories included perioperative antibiotic prophylaxis, post-operative nausea and vomiting prophylaxis, vital sign monitors and alarms, glucose management, blood pressure management, ventilator management, clinical documentation, and resource utilization. Of these categories, the reviewers graded perioperative antibiotic prophylaxis and clinical documentation as having strong evidence per the peer reviewed literature. There is strong evidence for the inclusion of near real-time and point-of-care CDS in AIMS to enhance compliance with perioperative antibiotic prophylaxis and clinical documentation. Additional research is needed in many other areas of AIMS-based CDS. |
| Databáze: | OpenAIRE |
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