To present a computerized intensive care unit order-writing protocol.
DESIGN:
Descriptive report.
SETTING:
Eight-bed surgical intensive care unit, Department of Surgery, Department of Veterans Affairs Medical Center, Bronx, NY.
METHODS:
IBM-based, computer network program that provides user-friendly, logical, and comprehensive organ-system order sequences for patient management.
RESULTS:
Since July 1988, an order program that stresses (1) improved and more efficient patient care, (2) the use of program-integrated automatic safety features, (3) the substitution of computer entry for handwriting, and (4) the assurance that physicians deliver obligatory care in a logical organ-system—based progression has been implemented.
CONCLUSIONS:
The order protocol system presented is simple to introduce and operate, has minimal training and technical requirements, and is demonstrably reliable.
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