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Yearb Med Inform 2009; 18(01): 17-21
DOI: 10.1055/s-0038-1638631
DOI: 10.1055/s-0038-1638631
Original Article
Clinical Decision Support Systems: The Fascination with Closed-Loop Control
Further Information
Correspondence to:
Dr. Reed M. Gardner
1745 Cornell Circle
Salt Lake City, Utah 84108
USA
Email: Reed.Gardner@hsc.utah.edu
Publication History
Publication Date:
07 March 2018 (online)
MissingLinkText
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References
- 1 Bickford RG. Use of frequency discrimination in automatic electroencephalographic control of anesthesia (servo anesthesia). Electroencephalogr Clin Neurophysiol 1951; Feb; 03 (01) 83-6.
- 2 Sheppard LC, Kouchoukos NT, Kurtts MA, Kirklin JW. Automated treatment of critically ill patients following operation. Ann Surg 1968; Oct; 168 (04) 596-604.
- 3 Gaudinat A. Closing the loops in biomedical informatics: From theory to daily practice. Yearb Med Inform 2009; 37-9.
- 4 Tschopp M, Lovis C. Towards Clinically Available Closed-loop Systems for Mechanical Ventilation in the Intensive Care Unit. Yearb Med Inform 2009; 75-80.
- 5 De Smet T, Struys MM, Neckenbroek MM, Van den Hauwe K, Bonte S, Mortier EP. The accuracy and clinical feasibility of a new Bayesian-based closed-loop system for propofol administration using the bispectral index as a controlled variable. Anesth Analg 2008; Oct; 107 (04) 1200-10.
- 6 REUTER’s news on the WEB Medtronic highlights new advances in development of Closed Loop system for diabetes management. 6 Jun 2009
- 7 Clayton PD. Presentation of the Morris F. Collen Award to Homer R. Warner, MD, PhD “Why not? Let’s do it!”J Am Med Inform Assoc 1995; Mar Apr; 02 (02) 137-42.
- 8 Warner HR, Gardner RM, Toronto AF. Computerbased monitoring of cardiovascular functions in postoperative patients. Circulation 1968; Apr; 37 (4 Suppl): II67-74.
- 9 Gardner RM, Warner HR, Toronto AF, Gaisford WD. Catheter-flush system for continuous monitoring of central arterial pulse waveform. J of Appl Physiol 1970; Dec; 29 (06) 911-3.
- 10 Pryor TA, Warner HR, Gardner RM. HELP—A total hospital information system. Proc Annu Symp Comput Appl Med Care (SCAMC) 1980; 04: 3-7.
- 11 Pryor TA, Gardner RM, Clayton PD, Warner HR. The HELP system. Proc Annu Symp Comput Appl Med Care (SCAMC) 1982; 06: 19-27.
- 12 Kuperman GJ, Gardner RM, Pryor TA. HELP: A Dynamic Hospital Information System. New York,NY: Springer-Verlag Inc; 1991.;
- 13 Gardner RM, Pryor TA, Warner HR. The HELP System: Functionality Update. Int J Med Inform 1999; Jun; 54 (03) 169-82.
- 14 Gardner RM, Cannon GH, Morris AH, Olsen KR, Price GA. Computerized blood gas interpretation and reporting system. IEEE Computer 1975; 08 (01) 39-45.
- 15 Gardner RM, Clausen JL, Cotton DJ, Crapo RO, Epler GR, Hankinson JL, Johnson Jr RL. Computer guidelines for pulmonary laboratories. Am Rev Respir Dis 1986; 134: 628-9.
- 16 Andrews RD, Gardner RM, Metcalf SM, Simmons D. Computer charting: An evaluation of a respiratory care computer system. Respir Care 1985; Aug; 30 (08) 695-707.
- 17 Sittig DF, Pace NL, Gardner RM, Beck E, Morris AH. Implementation of a computerized patient advice system using the HELP clinical information system. Comp Biomed Res 1989; Oct; 22: 474-87.
- 18 East TD, Bohm SH, Wallace CJ, Clemmer TP, Weaver LK, Orme Jr JF. et al. A successful computerized protocol for clinical management of pressure control inverse ratio ventilation in ARDS patients. Chest 1992; Mar; 101 (03) 697-710.
- 19 Gardner RM, Laub RM, Golubjatnikov OK, Evans RS, Jacobson JT. Computer Critiqued Blood Ordering Using the HELP System. Comp Biomed Res 1990; Dec; 23: 514-28.
- 20 Classen DC, Pestotnik SL, Evans RS, Burke JP. Computerized surveillance of adverse drug events in hospital patients. JAMA 1991; Nov 27; 266 (20) 2847-51.
- 21 Classen DC, Pestotnik SL, Evans RS, Lloyd JF, Burke JP. Adverse drug events in hospitalized patients. Excess length of stay, extra cost, and attributable mortality. JAMA 1997; Jan 22-29; 277 (04) 301-6.
- 22 Evans RS, Gardner RM, Bush AR, Burke JP, Jacobson YA, Larsen RA. et al. Development of a Computerized Infectious Disease Monitor (CIDM) Comput Biomed Res. 1985; Apr; 18 (02) 103-13.
- 23 Evans RS, Pestotnik SL, Classen DC, Clemmer TP, Weaver LK, Orme Jr JF. et al. A computerassisted management program for antibiotics and other antiinfective agents. N Engl J Med 1998; Jan 22; 338 (04) 232-8.
- 24 Gardner RM, Lundsgaarde HP. Evaluation of user acceptance of a clinical expert system. J Am Med Inform Assoc 1994; Nov-Dec; 01 (06) 428-38.
- 25 Friedman CP. A “Fundamental Theorem” of Biomedical Informatics. J Am Med Inform Assoc 2009; Mar; 16 (02) 169-70.
- 26 Parasuraman R, Wickens CD. Humans: Still vital after all these years of automation. Hum Factors 2008; Jun; 50 (03) 511-20.
- 27 Saleem JJ, Russ AL, Sanderson P, Johnson TR, Zhang J, Sittig DF. Current challenges and opportunities for better integration of human factors research with development of clinical information systems. Yearb Med Inform 2009; 48-58.
- 28 Chaudhry B. Computerized clinical decision support: will it transform healthcare? Editorial. J Gen Intern Med 2008; Jan; 23 (Suppl. 01) 85-7.
- 29 Chaudhry B, Wang J, Wu S, Maglione M, Mojica W, Roth E. et al. Systematic review: Impact of health information technology on quality, efficiency and cost of medical care. Ann Intern Med 2006; May 16; 144 (10) 742-52.
- 30 Pauldine R, Beck G, Salinas J, Kaczka DW. Closedloop strategies for patient care systems. J Trauma 2008; Apr; 64 (4 Suppl): S289-S294.
- 31 Inzucchi SE, Siegel MD. Glucose control in the ICU – How tight is too tight?. N Engl J Med 2009; Mar 26; 360 (13) 1346-9.
- 32 Berner ES. Clinical decision support systems: State of the Art. AHRQ Publication No. 09-0069-EF. Rockville, Maryland: Agency for Healthcare Research and Quality. June 2009 – Available on the Web at http://healthit.ahrq.gov/images/jun09cdsreview/09_0069_ef.html.
- 33 Karsh B-T. Clinical practice improvement and redesign: how change in workflow can be supported by clinical decision support. AHRQ Publication No. 09-0054-EF. Rockville, Maryland: Agency for Healthcare Research and Quality. June 2009 – Available on the Web at http://healthit.ahrq.gov/images/ jun09cdsworkflow/09_0054_ef.html.
- 34 Sittig DF, Wright A, Osheroff JA, Middleton B, Teich JM, Ash JS. et al. Grand challenges in clinical decision support. J Biomed Inform 2008; Apr; 41 (02) 387-92.
- 35 Miller RA, Gardner RM, Johnson KB, Hripcsak G. Clinical decision support and electronic prescribing systems: a time for responsible thought and action. J Am Med Inform Assoc 2005; Jul-Aug; 12 (04) 403-9.
- 36 Bates DW, Kuperman GJ, Wang S, Gandhi T, Killter A, Volk L. et al. Ten Commandments for effective clinical decision support: making the practice of evidence-based medicine a reality. J Am Med Inform Assoc 2003; Nov-Dec; 10 (06) 523-30.
- 37 Morris AH, Hirshberg E, Sward KA. Computer protocols: How to implement. Best Pract Res Clin Anaesthesiol 2009; Mar; 23 (01) 51-67.
- 38 Gardner RM, Beale RJ. Editorial: Pressure to Perform: Is Cardiac Output Estimation from Arterial Waveforms Good Enough for Routine Use?. Crit Care Med 2009; Jan; 37 (01) 337-8.
- 39 Miller RA, Gardner RM. Recommendations for Responsible Monitoring and Regulation of Clinical Software. Ann Intern Med 1997; Nov 1; 127 (09) 842-5.
- 40 Safran C. Informatics Training for Clinicians is More Important than Hardware and Software. Yearb Med Inform 2009; 164-5.
- 41 Gardner RM, Overhage JM, Steen E, Holmes JH, Williamson JJ, Detmer DE. AMIA Board of Directors. Core Content for the Subspecialty of Clinical Informatics. J Am Med Inform Assoc 2009; Mar-Apr; 16 (02) 153-7.
- 42 Safran C, Shabot MM, Munger BS, Holmes JH, Steen EB, Lumpkin JR, Detmer DE. AMIA Board of Directors. Program requirements for fellowship education in the subspecialty of clinical informatics. J Am Med Inform Assoc 2009; Mar-Apr; 16 (02) 158-66.
- 43 Gardner RM, Hawley WH, East TD, Oniki T, Young HFWfc. Real Time Data Acquisition: Recommendations for the Medical Information Bus (MIB). Int J Clin Monit Comput 1991-1992; 08 (04) 251-8.
- 44 Vawdrey DK, Gardner RM, Evans RS, Orme Jr JF, Clemmer TP, Greenway L. et al. Assessing Data Quality in Manual Entry of Ventilator Settings. J Am Med InformAssoc May-June 2007; 14 (03) 295-303.
- 45 Depeursinge A, Müller H. Sensors, Medical Images and Signal Processing. Yearb Med Inform 2009; 81-3.
- 46 Sun JX, Reisner AT, Saeed M, Heldt T, Mark RG. The cardiac output from blood pressure algorithms trial. Crit Care Med 2009; Jan; 37 (01) 72-80.
- 47 Li Q, Mark RG, Clifford GD. Robust heart rate estimation from multiple asynchronous noisy sources using signal quality indices and a Kalman filter. Physiol Meas 2008; Jan; 29 (01) 15-32.
- 48 Iavindrasana J, Cohen G, Depeursinge A, Mueller H, Meyer R, Geissbuhler A. Clinical Data Mining: a Review. Yearb Med Inform 2009; 121-33.
- 49 Rassinoux AM. Knowledge Representation and Management: Towards Interoperable Medical Terminologies. Yearb Med Inform 2009; 99-102.
- 50 Lenz R. Information Systems in Healthcare – state and steps towards sustainability A Position Paper. Yearb Med Inform 2009; 63-70.
- 51 Sauer C. Deciding the future for IS failures: not the choice you might think. In: Currie WL, Galliers B. editors. Rethinking Management Information Systems. Oxford University Press; 1999: 279-309.
- 52 Ash JS, Sittig DF, Dykstra R, Campbell E, Guappone K. The unintended consequences of computerized provider order entry: findings from a mixed methods exploration. Intl J Med Inform 2009; Apr; 78 (Suppl. 01) S69-76.
- 53 Sittig DF. A Socio-technical Model of Health Information Technology-related e-Iatrogenesis. AMIA Ann Symp Proc 2008; Nov 06: 1209-10.
- 54 Jackson D, Thomas M, Millett LM. editors: for the Committee on Certifiably Dependable Software Systems; National Academy of Sciences. Software for Dependable Systems: Sufficient Evidence?. The National Academies Press; 2007
- 55 Jackson D. A direct path to dependable software. Comm ACM 2009; Apr; 52 (04) 78-88.
- 56 Bates DW. The effects of health information technology on inpatient care. Arch Intern Med 2009; Jan 26; 169 (02) 105-7.
- 57 Zhou L, Soran CS, Jenter CA, Volk LA, Orav EJ, Bates DW. et al. The Relationship between Electronic Health Record Use and Quality of Careover Time. JAm Med InformAssoc 2009; Jul-Aug; 16 (04) 457-64.
Correspondence to:
Dr. Reed M. Gardner
1745 Cornell Circle
Salt Lake City, Utah 84108
USA
Email: Reed.Gardner@hsc.utah.edu
-
References
- 1 Bickford RG. Use of frequency discrimination in automatic electroencephalographic control of anesthesia (servo anesthesia). Electroencephalogr Clin Neurophysiol 1951; Feb; 03 (01) 83-6.
- 2 Sheppard LC, Kouchoukos NT, Kurtts MA, Kirklin JW. Automated treatment of critically ill patients following operation. Ann Surg 1968; Oct; 168 (04) 596-604.
- 3 Gaudinat A. Closing the loops in biomedical informatics: From theory to daily practice. Yearb Med Inform 2009; 37-9.
- 4 Tschopp M, Lovis C. Towards Clinically Available Closed-loop Systems for Mechanical Ventilation in the Intensive Care Unit. Yearb Med Inform 2009; 75-80.
- 5 De Smet T, Struys MM, Neckenbroek MM, Van den Hauwe K, Bonte S, Mortier EP. The accuracy and clinical feasibility of a new Bayesian-based closed-loop system for propofol administration using the bispectral index as a controlled variable. Anesth Analg 2008; Oct; 107 (04) 1200-10.
- 6 REUTER’s news on the WEB Medtronic highlights new advances in development of Closed Loop system for diabetes management. 6 Jun 2009
- 7 Clayton PD. Presentation of the Morris F. Collen Award to Homer R. Warner, MD, PhD “Why not? Let’s do it!”J Am Med Inform Assoc 1995; Mar Apr; 02 (02) 137-42.
- 8 Warner HR, Gardner RM, Toronto AF. Computerbased monitoring of cardiovascular functions in postoperative patients. Circulation 1968; Apr; 37 (4 Suppl): II67-74.
- 9 Gardner RM, Warner HR, Toronto AF, Gaisford WD. Catheter-flush system for continuous monitoring of central arterial pulse waveform. J of Appl Physiol 1970; Dec; 29 (06) 911-3.
- 10 Pryor TA, Warner HR, Gardner RM. HELP—A total hospital information system. Proc Annu Symp Comput Appl Med Care (SCAMC) 1980; 04: 3-7.
- 11 Pryor TA, Gardner RM, Clayton PD, Warner HR. The HELP system. Proc Annu Symp Comput Appl Med Care (SCAMC) 1982; 06: 19-27.
- 12 Kuperman GJ, Gardner RM, Pryor TA. HELP: A Dynamic Hospital Information System. New York,NY: Springer-Verlag Inc; 1991.;
- 13 Gardner RM, Pryor TA, Warner HR. The HELP System: Functionality Update. Int J Med Inform 1999; Jun; 54 (03) 169-82.
- 14 Gardner RM, Cannon GH, Morris AH, Olsen KR, Price GA. Computerized blood gas interpretation and reporting system. IEEE Computer 1975; 08 (01) 39-45.
- 15 Gardner RM, Clausen JL, Cotton DJ, Crapo RO, Epler GR, Hankinson JL, Johnson Jr RL. Computer guidelines for pulmonary laboratories. Am Rev Respir Dis 1986; 134: 628-9.
- 16 Andrews RD, Gardner RM, Metcalf SM, Simmons D. Computer charting: An evaluation of a respiratory care computer system. Respir Care 1985; Aug; 30 (08) 695-707.
- 17 Sittig DF, Pace NL, Gardner RM, Beck E, Morris AH. Implementation of a computerized patient advice system using the HELP clinical information system. Comp Biomed Res 1989; Oct; 22: 474-87.
- 18 East TD, Bohm SH, Wallace CJ, Clemmer TP, Weaver LK, Orme Jr JF. et al. A successful computerized protocol for clinical management of pressure control inverse ratio ventilation in ARDS patients. Chest 1992; Mar; 101 (03) 697-710.
- 19 Gardner RM, Laub RM, Golubjatnikov OK, Evans RS, Jacobson JT. Computer Critiqued Blood Ordering Using the HELP System. Comp Biomed Res 1990; Dec; 23: 514-28.
- 20 Classen DC, Pestotnik SL, Evans RS, Burke JP. Computerized surveillance of adverse drug events in hospital patients. JAMA 1991; Nov 27; 266 (20) 2847-51.
- 21 Classen DC, Pestotnik SL, Evans RS, Lloyd JF, Burke JP. Adverse drug events in hospitalized patients. Excess length of stay, extra cost, and attributable mortality. JAMA 1997; Jan 22-29; 277 (04) 301-6.
- 22 Evans RS, Gardner RM, Bush AR, Burke JP, Jacobson YA, Larsen RA. et al. Development of a Computerized Infectious Disease Monitor (CIDM) Comput Biomed Res. 1985; Apr; 18 (02) 103-13.
- 23 Evans RS, Pestotnik SL, Classen DC, Clemmer TP, Weaver LK, Orme Jr JF. et al. A computerassisted management program for antibiotics and other antiinfective agents. N Engl J Med 1998; Jan 22; 338 (04) 232-8.
- 24 Gardner RM, Lundsgaarde HP. Evaluation of user acceptance of a clinical expert system. J Am Med Inform Assoc 1994; Nov-Dec; 01 (06) 428-38.
- 25 Friedman CP. A “Fundamental Theorem” of Biomedical Informatics. J Am Med Inform Assoc 2009; Mar; 16 (02) 169-70.
- 26 Parasuraman R, Wickens CD. Humans: Still vital after all these years of automation. Hum Factors 2008; Jun; 50 (03) 511-20.
- 27 Saleem JJ, Russ AL, Sanderson P, Johnson TR, Zhang J, Sittig DF. Current challenges and opportunities for better integration of human factors research with development of clinical information systems. Yearb Med Inform 2009; 48-58.
- 28 Chaudhry B. Computerized clinical decision support: will it transform healthcare? Editorial. J Gen Intern Med 2008; Jan; 23 (Suppl. 01) 85-7.
- 29 Chaudhry B, Wang J, Wu S, Maglione M, Mojica W, Roth E. et al. Systematic review: Impact of health information technology on quality, efficiency and cost of medical care. Ann Intern Med 2006; May 16; 144 (10) 742-52.
- 30 Pauldine R, Beck G, Salinas J, Kaczka DW. Closedloop strategies for patient care systems. J Trauma 2008; Apr; 64 (4 Suppl): S289-S294.
- 31 Inzucchi SE, Siegel MD. Glucose control in the ICU – How tight is too tight?. N Engl J Med 2009; Mar 26; 360 (13) 1346-9.
- 32 Berner ES. Clinical decision support systems: State of the Art. AHRQ Publication No. 09-0069-EF. Rockville, Maryland: Agency for Healthcare Research and Quality. June 2009 – Available on the Web at http://healthit.ahrq.gov/images/jun09cdsreview/09_0069_ef.html.
- 33 Karsh B-T. Clinical practice improvement and redesign: how change in workflow can be supported by clinical decision support. AHRQ Publication No. 09-0054-EF. Rockville, Maryland: Agency for Healthcare Research and Quality. June 2009 – Available on the Web at http://healthit.ahrq.gov/images/ jun09cdsworkflow/09_0054_ef.html.
- 34 Sittig DF, Wright A, Osheroff JA, Middleton B, Teich JM, Ash JS. et al. Grand challenges in clinical decision support. J Biomed Inform 2008; Apr; 41 (02) 387-92.
- 35 Miller RA, Gardner RM, Johnson KB, Hripcsak G. Clinical decision support and electronic prescribing systems: a time for responsible thought and action. J Am Med Inform Assoc 2005; Jul-Aug; 12 (04) 403-9.
- 36 Bates DW, Kuperman GJ, Wang S, Gandhi T, Killter A, Volk L. et al. Ten Commandments for effective clinical decision support: making the practice of evidence-based medicine a reality. J Am Med Inform Assoc 2003; Nov-Dec; 10 (06) 523-30.
- 37 Morris AH, Hirshberg E, Sward KA. Computer protocols: How to implement. Best Pract Res Clin Anaesthesiol 2009; Mar; 23 (01) 51-67.
- 38 Gardner RM, Beale RJ. Editorial: Pressure to Perform: Is Cardiac Output Estimation from Arterial Waveforms Good Enough for Routine Use?. Crit Care Med 2009; Jan; 37 (01) 337-8.
- 39 Miller RA, Gardner RM. Recommendations for Responsible Monitoring and Regulation of Clinical Software. Ann Intern Med 1997; Nov 1; 127 (09) 842-5.
- 40 Safran C. Informatics Training for Clinicians is More Important than Hardware and Software. Yearb Med Inform 2009; 164-5.
- 41 Gardner RM, Overhage JM, Steen E, Holmes JH, Williamson JJ, Detmer DE. AMIA Board of Directors. Core Content for the Subspecialty of Clinical Informatics. J Am Med Inform Assoc 2009; Mar-Apr; 16 (02) 153-7.
- 42 Safran C, Shabot MM, Munger BS, Holmes JH, Steen EB, Lumpkin JR, Detmer DE. AMIA Board of Directors. Program requirements for fellowship education in the subspecialty of clinical informatics. J Am Med Inform Assoc 2009; Mar-Apr; 16 (02) 158-66.
- 43 Gardner RM, Hawley WH, East TD, Oniki T, Young HFWfc. Real Time Data Acquisition: Recommendations for the Medical Information Bus (MIB). Int J Clin Monit Comput 1991-1992; 08 (04) 251-8.
- 44 Vawdrey DK, Gardner RM, Evans RS, Orme Jr JF, Clemmer TP, Greenway L. et al. Assessing Data Quality in Manual Entry of Ventilator Settings. J Am Med InformAssoc May-June 2007; 14 (03) 295-303.
- 45 Depeursinge A, Müller H. Sensors, Medical Images and Signal Processing. Yearb Med Inform 2009; 81-3.
- 46 Sun JX, Reisner AT, Saeed M, Heldt T, Mark RG. The cardiac output from blood pressure algorithms trial. Crit Care Med 2009; Jan; 37 (01) 72-80.
- 47 Li Q, Mark RG, Clifford GD. Robust heart rate estimation from multiple asynchronous noisy sources using signal quality indices and a Kalman filter. Physiol Meas 2008; Jan; 29 (01) 15-32.
- 48 Iavindrasana J, Cohen G, Depeursinge A, Mueller H, Meyer R, Geissbuhler A. Clinical Data Mining: a Review. Yearb Med Inform 2009; 121-33.
- 49 Rassinoux AM. Knowledge Representation and Management: Towards Interoperable Medical Terminologies. Yearb Med Inform 2009; 99-102.
- 50 Lenz R. Information Systems in Healthcare – state and steps towards sustainability A Position Paper. Yearb Med Inform 2009; 63-70.
- 51 Sauer C. Deciding the future for IS failures: not the choice you might think. In: Currie WL, Galliers B. editors. Rethinking Management Information Systems. Oxford University Press; 1999: 279-309.
- 52 Ash JS, Sittig DF, Dykstra R, Campbell E, Guappone K. The unintended consequences of computerized provider order entry: findings from a mixed methods exploration. Intl J Med Inform 2009; Apr; 78 (Suppl. 01) S69-76.
- 53 Sittig DF. A Socio-technical Model of Health Information Technology-related e-Iatrogenesis. AMIA Ann Symp Proc 2008; Nov 06: 1209-10.
- 54 Jackson D, Thomas M, Millett LM. editors: for the Committee on Certifiably Dependable Software Systems; National Academy of Sciences. Software for Dependable Systems: Sufficient Evidence?. The National Academies Press; 2007
- 55 Jackson D. A direct path to dependable software. Comm ACM 2009; Apr; 52 (04) 78-88.
- 56 Bates DW. The effects of health information technology on inpatient care. Arch Intern Med 2009; Jan 26; 169 (02) 105-7.
- 57 Zhou L, Soran CS, Jenter CA, Volk LA, Orav EJ, Bates DW. et al. The Relationship between Electronic Health Record Use and Quality of Careover Time. JAm Med InformAssoc 2009; Jul-Aug; 16 (04) 457-64.