Title :
A modular Clinical Decision Support System Clinical prototype extensible into multiple clinical settings
Author :
Wu, Fran ; Williams, Mitch ; Kazanzides, Peter ; Brady, Ken ; Fackler, Jim
Author_Institution :
Dept. of Comput. Sci., Johns Hopkins Univ., Baltimore, MD, USA
Abstract :
Traditionally, Clinical Decision Support Systems (CDSS) collect patient data from physiological monitors and other sources, providing clinicians with derived instructions and information to aid treatment planning. With advancements in telecommunication networks, CDSS functionality can be extended over distances, and accessed remotely (e.g. by appropriate healthcare providers not available in the patient´s immediate surroundings). This paper discusses a modular CDSS that features real-time continuous patient monitoring, high-fidelity analysis and incorporation of clinical guidelines for decision support. A modular CDSS prototype was designed, implemented and tested in a pediatric intensive care environment, by incorporating a guideline for pediatric traumatic brain injury (TBI). System outputs show successful aggregation and analysis of continuous and periodic data, and automation of guidelines by recognizing deviation of patient´s condition from normal states. The modular design will allow extension into pre-hospital treatment environments by taking advantages of advances in pervasive monitoring.
Keywords :
computerised monitoring; decision support systems; medical administrative data processing; ubiquitous computing; clinical decision support system; clinical guidelines; continuous patient monitoring; modular CDSS prototype; pediatric intensive care environment; pediatric traumatic brain injury; pervasive monitoring; Automation; Biomedical monitoring; Brain injuries; Decision support systems; Guidelines; Medical services; Medical treatment; Patient monitoring; Prototypes; Testing; Clinical Guidelines; Continuous Monitoring; Pervasive Healthcare; Real-time Monitoring; Visualization;
Conference_Titel :
Pervasive Computing Technologies for Healthcare, 2009. PervasiveHealth 2009. 3rd International Conference on
Conference_Location :
London
Print_ISBN :
978-963-9799-42-4
Electronic_ISBN :
978-963-9799-30-1
DOI :
10.4108/ICST.PERVASIVEHEALTH2009.6078