Journal of Critical Care
Volume 24, Issue 4 , Pages 523-529 , December 2009

Effect of a clinical decision support system on adherence to a lower tidal volume mechanical ventilation strategy

  • Saeid Eslami, PharmD

      Affiliations

    • Department of Medical Informatics, Academic Medical Center, Universiteit van Amsterdam, 1105 AZ Amsterdam, The Netherlands
    • Corresponding Author InformationCorresponding author.
    • ,
  • Nicolette F. de Keizer, PhD

      Affiliations

    • Department of Medical Informatics, Academic Medical Center, Universiteit van Amsterdam, 1105 AZ Amsterdam, The Netherlands
    • ,
  • Ameen Abu-Hanna, PhD

      Affiliations

    • Department of Medical Informatics, Academic Medical Center, Universiteit van Amsterdam, 1105 AZ Amsterdam, The Netherlands
    • ,
  • Evert de Jonge, MD, PhD

      Affiliations

    • Department of Intensive Care, Academic Medical Center, Universiteit van Amsterdam, 1105 AZ Amsterdam, The Netherlands
    • ,
  • Marcus J. Schultz, MD, PhD, FCCP

      Affiliations

    • Department of Intensive Care, Academic Medical Center, Universiteit van Amsterdam, 1105 AZ Amsterdam, The Netherlands
    • Laboratory of Experimental Intensive Care and Anesthesiology (LEICA), Academic Medical Center, Universiteit van Amsterdam, 1105 AZ Amsterdam, The Netherlands

References 

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  2. Amato MB, Barbas CS, Medeiros DM, Magaldi RB, Schettino GP, Lorenzi-Filho G, et al. Effect of a protective-ventilation strategy on mortality in acute respiratory distress syndrome. N Engl J Med. 1998;338:347–354
  3. Brochard L, Roudot-Thoraval F, Roupie E, Delclaux C, Chastre J, Fernandez-Mondéjar E, et al. Tidal volume reduction for prevention of ventilator-induced lung injury in acute respiratory distress syndrome. The Multicenter trial Group on Tidal Volume Reduction in ARDS. Am J Respir Crit Care Med. 1998;158:1831–1838
  4. Stewart TE, Meade MO, Cook DJ, Granton JT, Hodder RV, Lapinsky SE, et al. Evaluation of a ventilation strategy to prevent barotrauma in patient at high risk for acute respiratory distress syndrome. Pressure- and Volume-Limited Ventilation Strategy Group. N Engl J Med. 1998;338:355–361
  5. The Acute Respiratory Distress Syndrome Network . Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med. 2000;342:1301–1308
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  7. Schultz MJ. Pulmonary complications after cardiac surgery: ventilator associated lung injury?. Med Sci Monit. 2007;13(3):LE3–LE4
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  10. Rubenfeld G, Caldwell E, Hudson L. Publication of study results does not increase use of lung protective ventilation in patient with acute lung injury. Am J Respir Crit Care Med. 2001;163:A295
  11. Weinert CR, Gross CR, Marinelli WA. Impact of randomized trial results of acute lung injury ventilator therapy in teaching hospital. Am J Respir Crit Care Med. 2003;167:1304–1309
  12. Young MP, Manning HL, Wilson DL, Mette SA, Riker RR, Leiter JC, et al. Ventilation of patient with acute lung injury and acute respiratory distress syndrome: has new evidence changed clinical practice?. Crit Care Med. 2004;32:1260–1265
  13. Kalhan R, Mikkelsen M, Dedhiya P, Christie J, Gaughan C, Lanken PN, et al. Underuse of lung protective ventilation: analysis of potential factors to explain physician behavior. Crit Care Med. 2006;34(2):300–306
  14. Cabana MD, Rand CS, Powe NR, Wu AW, Wilson MH, Abboud PA, et al. Why don't physicians follow clinical practice guideline? A framework for improvement. JAMA. 1999;282:1456–1465
  15. Garg AX, Adhikari NK, McDonald H, Rosas-Arellano MP, Devereaux PJ, Beyene J, et al. Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review. JAMA. 2005;293(10):1223–1238
  16. Devine B. Gentamicin therapy. Drug Intell Clin Pharm. 1974;8:650–655
  17. East TD, Heermann LK, Bradshaw RL, Lugo A, Sailors RM, Ershler L, et al. Efficacy of computerized decision support for mechanical ventilation: results of a prospective multi-center randomized trial. Proc AMIA Symp. 1999;251–255
  18. McKinley BA, Moore FA, Sailors RM, Cocanour CS, Marquez A, Wright RK, et al. Computerized decision support for mechanical ventilation of trauma induced ARDS: results of randomized clinical trial. J Trauma. 2001;50:415–425
  19. Musen MA, Shahar Y, Shortliffe EH. Clinical decision-support system. In:  Shortliffe EH editors. Biomedical informatics: computer applications in health care and biomedicine. 3th ed.. New York: Springer; 2006;p. 698–736

PII: S0883-9441(08)00250-5

doi: 10.1016/j.jcrc.2008.11.006

Journal of Critical Care
Volume 24, Issue 4 , Pages 523-529 , December 2009

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