Latest Articles in Decision-Support

The Future ICU

Critical Care Medicine has existed for many years, but was only recognised as a specialty in the last 40 years or so. However, during this time, there has been a tremendous amount of change. Over the years, our understanding of different critical illnesses has improved, and our treatment strategies

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Clinical Decision Support Systems: Future or Present in ICU?

Clinical decision support systems (CDSS) are today, a reality. More complex, useful systems will be developed in the near future, forging CDSS an essential part of ICU monitoring. However, we need to understand the algorithms embedded in CDSS and to assess them correctly. They will need to first

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Closing the Loop: The Road to Zero Medication Errors

Summary: It is estimated that even today, medical errors are the third leading cause of deaths in the US, costing the health system several billions of dollars a year. Many of these deaths can be attributed to the misuse of medication.   When used properly, medications save live

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New hospital policies and procedures required for patient safety

Eighteen Actionable Patient Safety Solutions are the key to zero preventable patient deaths in our hospitals.   What are the patient safety processes that every hospital administrator and healthcare professional should adopt today to avoid preventable patient harm and death in hosp

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Innovations in ICU ventilation

The future delivered   In this article, we aim to summarise the developments in mechanical ventilation that we believe are shaping the present and will shape the future ahead.   Introduction   Many centuries ago, Socrates stated that “the secret of change is to foc

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Sedation practices in the ICU

Report of a symposium presented at LIVES 2018: 31st congress of the European Society of Intensive Care Medicine, Paris, France  Chairs:  Michael Sander, Germany  & Jean-Daniel Chiche, France  Knowledge and practice in sedation and analgesia in the ICU have

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Medical errors: is prevention possible?

How the Patient Safety Movement is striving for zero preventable deaths by 2020 A patient death is distressing enough, but when the cause is a lack of hospital safety culture and it could have been prevented, healthcare needs to act. Now. A health crisis across the globe is claiming

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Does Technology Gap Cause Medical Errors?

Hardly a day goes by without some new revelation of an information technology mess in the U.S. - whether nuclear weapons updated with floppy disks to needless deaths from medical errors, many of which are caused by preventable interoperability communication errors.   According to a

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Medical Errors:Much Ado About Nothing?

Author Andrej Michalsen, MD, MPH Consultant Intensive Care Medicine HELIOS Hospital Überlingen,Überlingen/See, Germany [email protected]   Risk-prone industries, such as aviation and nuclear power plant operations, have been addre

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Adverse Events in the ICU: Are We Aiming at the Wrong Target?

Several studies the last decade have revealed that errors and adverse events are common in the ICU. Errors have become the norm rather than the exception in most ICUs—for physicians as well as nurses. Efforts have been made to prevent errors and adverse events from occurring, but evidence s

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