Abstract
This paper describes a microcomputer system for providing computer-based access to expert knowledge in the area of troubleshooting pulmonary artery (PA) catheter waveforms. The system is used by both nurses and physicians in an 18-bed medical intensive care unit. Its dominant features are 1) problem-focused access to knowledge, and 2) heavy use of graphics and images to explicate knowledge. The system is used by both nurses and physicians in an 18-bed medical intensive care unit. An evaluation protocol is in place to examine the impact of the system on clinicians' knowledge, their decision-making skills, their satisfaction with the system, and costs of orientation related to PA waveform troubleshooting.
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Selected References
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- Barnett G. O., Cimino J. J., Hupp J. A., Hoffer E. P. DXplain. An evolving diagnostic decision-support system. JAMA. 1987 Jul 3;258(1):67–74. doi: 10.1001/jama.258.1.67. [DOI] [PubMed] [Google Scholar]
- Bradburn C., Zeleznikow J., Adams A. FLORENCE: synthesis of case-based and model-based reasoning in a nursing care planning system. Comput Nurs. 1993 Jan-Feb;11(1):20–24. [PubMed] [Google Scholar]
- Chang B. L., Roth K., Gonzales E., Caswell D., DiStefano J., 3rd CANDI. A knowledge-based system for nursing diagnosis. Comput Nurs. 1988 Jan-Feb;6(1):13–21. [PubMed] [Google Scholar]
- Coughlin L. D., Patel V. L. Processing of critical information by physicians and medical students. J Med Educ. 1987 Oct;62(10):818–828. doi: 10.1097/00001888-198710000-00005. [DOI] [PubMed] [Google Scholar]
- Covell D. G., Uman G. C., Manning P. R. Information needs in office practice: are they being met? Ann Intern Med. 1985 Oct;103(4):596–599. doi: 10.7326/0003-4819-103-4-596. [DOI] [PubMed] [Google Scholar]
- Funk S. G., Champagne M. T., Wiese R. A., Tornquist E. M. Barriers to using research findings in practice: the clinician's perspective. Appl Nurs Res. 1991 May;4(2):90–95. doi: 10.1016/s0897-1897(05)80062-x. [DOI] [PubMed] [Google Scholar]
- Miller R. A., McNeil M. A., Challinor S. M., Masarie F. E., Jr, Myers J. D. The INTERNIST-1/QUICK MEDICAL REFERENCE project--status report. West J Med. 1986 Dec;145(6):816–822. [PMC free article] [PubMed] [Google Scholar]
- Musen M. A., van der Lei J. Knowledge engineering for clinical consultation programs: modeling the application area. Methods Inf Med. 1989 Jan;28(1):28–35. [PubMed] [Google Scholar]
- Ryan S. A. An expert system for nursing practice. Clinical decision support. Comput Nurs. 1985 Mar-Apr;3(2):77–84. [PubMed] [Google Scholar]
- Williamson J. W., German P. S., Weiss R., Skinner E. A., Bowes F., 3rd Health science information management and continuing education of physicians. A survey of U.S. primary care practitioners and their opinion leaders. Ann Intern Med. 1989 Jan 15;110(2):151–160. doi: 10.7326/0003-4819-110-2-151. [DOI] [PubMed] [Google Scholar]
