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首页> 外文期刊>Journal of medical systems >COSARA: Integrated service platform for infection surveillance and antibiotic management in the ICU
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COSARA: Integrated service platform for infection surveillance and antibiotic management in the ICU

机译：COSARA：ICU中感染监测和抗生素管理的综合服务平台

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摘要

The Intensive Care Unit is a data intensive environment where large volumes of patient monitoring and observational data are daily generated. Today, there is a lack of an integrated clinical platform for automated decision support and analysis. Despite the potential of electronic records for infection surveillance and antibiotic management, different parts of the clinical data are stored across databases in their own formats with specific parameters, making access to all data a complex and time-consuming challenge. Moreover, the motivation behind physicians' therapy decisions is currently not captured in existing information systems. The COSARA research project offers automated data integration and services for infection control and antibiotic management for Ghent University Hospital. The platform not only gathers and integrates all relevant data, it also presents the information visually at the point of care. In this paper, we describe the design and value of COSARA for clinical treatment and infectious diseases monitoring. On the one hand, this platform can facilitate daily bedside follow-up of infections, antibiotic therapies and clinical decisions for the individual patient, while on the other hand, the platform serves as management view for infection surveillance and care quality improvement within the complete ICU ward. It is shown that COSARA is valuable for registration, real-time presentation and management of infection-related and antibiotics data.
机译：重症监护室是一个数据密集型环境，每天都会生成大量患者监视和观察数据。如今，缺乏用于自动化决策支持和分析的集成临床平台。尽管电子记录有可能用于感染监测和抗生素管理，但临床数据的不同部分以其自己的格式（具有特定参数）存储在数据库中，这使得访问所有数据成为一项复杂且耗时的挑战。此外，目前在现有的信息系统中并未捕获医师做出治疗决策的动机。 COSARA研究项目为根特大学医院的感染控制和抗生素管理提供自动化数据集成和服务。该平台不仅可以收集和整合所有相关数据，还可以在护理现场直观地显示信息。在本文中，我们描述了COSARA在临床治疗和传染病监测中的设计和价值。一方面，该平台可以促进对患者的日常床边随访感染，抗生素治疗和临床决策，而另一方面，该平台还可以作为管理观点，在整个ICU内进行感染监测和护理质量改善病房。结果表明，COSARA对于感染相关数据和抗生素数据的注册，实时显示和管理非常有价值。

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