caa a22 4500 465813674 CHVBK 20180323112121.0 cr unu---uuuuu 170327e19900401xx s 000 0 eng 10.1007/BF01724200 doi (NATIONALLICENCE)springer-10.1007/BF01724200 Integrated computerized databases for medical data management beyond the bedside [Elektronische Daten] [Beverley Leyerle, Mark LoBue, Michael Shabot] Summary: Computers are beginning to be utilized extensively for direct patient care, assisting nursing and medical staff with data collection and review at the bedside. However, most clinical data management systems are optimized for bedside patient care and offer limited resources for multi-patient data analysis. At Cedars-Sinai Medical Center, a network of computer systems has been developed to provide linkages between clinical, administrative and outcome data for Surgical Intensive Care Unit (SICU) patients. Increasingly, such data is needed to evaluate the relationship between severity of illness and patient outcome and the utilization of expensive critical resources. Over the parts 3 years, comprehensive data on 6,755 consecutive SICU patients receiving 18,394 days of care have been accumulated by our PDMS. Using linkages constructed to other hospital systems and databases, trends for severity of illness, severity adjusted survival, census, bed utilization, nursing utilization and many other parameters have been constructed. These linkages are valuable in documenting cost-effective and medically-effective patient care practices. Kluwer Academic Publishers, 1990 computer nationallicence database nationallicence ICU nationallicence management nationallicence medical nationallicence Leyerle Beverley Department of Surgery — Suite 8215, Cedars-Sinai Medical Center, 8700 Beverly Boulevard, 90048, Los Angeles, California, USA aut LoBue Mark Department of Surgery — Suite 8215, Cedars-Sinai Medical Center, 8700 Beverly Boulevard, 90048, Los Angeles, California, USA aut Shabot Michael Department of Surgery — Suite 8215, Cedars-Sinai Medical Center, 8700 Beverly Boulevard, 90048, Los Angeles, California, USA aut International journal of clinical monitoring and computing Springer Netherlands 7/2(1990-04-01), 83-89 0167-9945 7:2<83 1990 7 12521 https://doi.org/10.1007/BF01724200 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01724200 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Leyerle Beverley Department of Surgery — Suite 8215, Cedars-Sinai Medical Center, 8700 Beverly Boulevard, 90048, Los Angeles, California, USA aut NATIONALLICENCE 700 1- LoBue Mark Department of Surgery — Suite 8215, Cedars-Sinai Medical Center, 8700 Beverly Boulevard, 90048, Los Angeles, California, USA aut NATIONALLICENCE 700 1- Shabot Michael Department of Surgery — Suite 8215, Cedars-Sinai Medical Center, 8700 Beverly Boulevard, 90048, Los Angeles, California, USA aut NATIONALLICENCE 773 0- International journal of clinical monitoring and computing Springer Netherlands 7/2(1990-04-01), 83-89 0167-9945 7:2<83 1990 7 12521 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer