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Báo cáo khoa học: " Not if but when; no longer why but how"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Not if but when; no longer why but how. | Available online http ccforum.eom content 11 1 117 Commentary Not if but when no longer why but how Ian Piper on behalf of the BrainIT Group Department of Clinical Physics Southern General Hospital 1345 Govan Road Glasgow G5 14TF UK Corresponding author Ian Piper ipiper@clinmed.gla.ac.uk Published 23 February 2007 This article is online at http ccforum.com content 11 1 117 2007 BioMed Central Ltd Critical Care 2007 11 117 doi 10.1186 cc5688 See related research by Zanier et al. http ccforum.com content 11 1 R7 Abstract There is accruing evidence that information technology can improve patient health care with several trials of technology showing smaller numbers of medication errors or can provide earlier detection of adverse events. Critics of this type of research point out that better resolution of events is of no value unless their direct management influences clinical outcome. Nevertheless indirect evidence is available such as reports indicating the importance of providing specialist neuro-critical care in the management of patients with traumatic brain injury. These studies do not indicate which aspects of critical care management are crucial but management aimed at the earlier detection and treatment of adverse events must be partly responsible. We continue to hope for definitive controlled trial evidence that information technology-led management yields improved patient outcome but our experience so far of funding and conducting such studies has been poor. There is no question that we need better monitoring and event detection technology for health care and that we need more research into optimising that technology but should their adoption depend on large-scale clinical trials Perhaps now the questions we need to focus upon are no longer if but when and no longer why but how. In this issue Zanier and colleagues 1 conducted a study showing that although computer-monitored end-hour data is accurately reflected by the nurses chart value more complex summary .