title: Providing clinicians with problem-based access to knowledge: troubleshooting pulmonary artery catheter waveforms.
abstract: This paper describes a microcomputer system for providing computer-based access to expert knowledge in the area of troubleshooting pulmonary artery (PA) catheter waveforms. The system is used by both nurses and physicians in an 18-bed medical intensive care unit. Its dominant features are 1) problem-focused access to knowledge, and 2) heavy use of graphics and images to explicate knowledge. The system is used by both nurses and physicians in an 18-bed medical intensive care unit. An evaluation protocol is in place to examine the impact of the system on clinicians' knowledge, their decision-making skills, their satisfaction with the system, and costs of orientation related to PA waveform troubleshooting.
authors.affiliation: Massachusetts General Hospital, Boston 02114.
authors.forename: R D
authors.initials: RD
authors.lastname: Zielstorff
authors.forename: G O
authors.initials: GO
authors.lastname: Barnett
authors.forename: J B
authors.initials: JB
authors.lastname: Fitzmaurice
authors.forename: D E
authors.initials: DE
authors.lastname: Oliver
authors.forename: P
authors.initials: P
authors.lastname: Ford-Carleton
authors.forename: B T
authors.initials: BT
authors.lastname: Thompson
authors.forename: G
authors.initials: G
authors.lastname: Estey
authors.forename: R
authors.initials: R
authors.lastname: Eccles
authors.forename: M
authors.initials: M
authors.lastname: Martin
authors.forename: R
authors.initials: R
authors.lastname: Jenders
mesh_terms: D002407:Catheterization, Swan-Ganz; D003199:Computer Systems; D003658:Decision Making, Computer-Assisted; D005103:Expert Systems; D006801:Humans; D008838:Microcomputers; D011340:Problem Solving; D011651:Pulmonary Artery