Abstracts from the 1st International Symposium on Decision Support in Anaesthesia and Intensive Care

1997 ◽  
Vol 14 (1) ◽  
pp. 49-68
Author(s):  
D. Streifert ◽  
N. Lutter ◽  
E. Van der Vorst ◽  
J. Mulier ◽  
B. Schwilk ◽  
...  

2021 ◽  
Vol 11 (6) ◽  
pp. 2880
Author(s):  
Miguel Pereira ◽  
Patricia Concheiro-Moscoso ◽  
Alexo López-Álvarez ◽  
Gerardo Baños ◽  
Alejandro Pazos ◽  
...  

The advances achieved in recent decades regarding cardiac surgery have led to a new risk that goes beyond surgeons' dexterity; postoperative hours are crucial for cardiac surgery patients and are usually spent in intensive care units (ICUs), where the patients need to be continuously monitored to adjust their treatment. Clinical decision support systems (CDSSs) have been developed to take this real-time information and provide clinical suggestions to physicians in order to reduce medical errors and to improve patient recovery. In this review, an initial total of 499 papers were considered after identification using PubMed, Web of Science, and CINAHL. Twenty-two studies were included after filtering, which included the deletion of duplications and the exclusion of titles or abstracts that were not of real interest. A review of these papers concluded the applicability and advances that CDSSs offer for both doctors and patients. Better prognosis and recovery rates are achieved by using this technology, which has also received high acceptance among most physicians. However, despite the evidence that well-designed CDSSs are effective, they still need to be refined to offer the best assistance possible, which may still take time, despite the promising models that have already been applied in real ICUs.



Author(s):  
Simone A. Ludwig ◽  
Stefanie Roos ◽  
Monique Frize ◽  
Nicole Yu

The rate of people dying from medical errors in hospitals each year is very high. Errors that frequently occur during the course of providing health care are adverse drug events and improper transfusions, surgical injuries and wrong-site surgery, suicides, restraint-related injuries or death, falls, burns, pressure ulcers, and mistaken patient identities. Medical decision support systems play an increasingly important role in medical practice. By assisting physicians in making clinical decisions, medical decision support systems improve the quality of medical care. Two approaches have been investigated for the prediction of medical outcomes: “hours of ventilation” and the “mortality rate” in the adult intensive care unit. The first approach is based on neural networks with the weight-elimination algorithm, and the second is based on genetic programming. Both approaches are compared to commonly used machine learning algorithms. Results show that both algorithms developed score well for the outcomes selected.



2012 ◽  
pp. 1068-1079
Author(s):  
Simone A. Ludwig ◽  
Stefanie Roos ◽  
Monique Frize ◽  
Nicole Yu

The rate of people dying from medical errors in hospitals each year is very high. Errors that frequently occur during the course of providing health care are adverse drug events and improper transfusions, surgical injuries and wrong-site surgery, suicides, restraint-related injuries or death, falls, burns, pressure ulcers, and mistaken patient identities. Medical decision support systems play an increasingly important role in medical practice. By assisting physicians in making clinical decisions, medical decision support systems improve the quality of medical care. Two approaches have been investigated for the prediction of medical outcomes: “hours of ventilation” and the “mortality rate” in the adult intensive care unit. The first approach is based on neural networks with the weight-elimination algorithm, and the second is based on genetic programming. Both approaches are compared to commonly used machine learning algorithms. Results show that both algorithms developed score well for the outcomes selected.



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