title: Medical informatics: an essential tool for health sciences research in acute care.
abstract: Medical Informatics has become an important tool in modern health care practice and research. In the present article we outline the challenges and opportunities associated with the implementation of electronic medical records (EMR) in complex environments such as intensive care units (ICU). We share our initial experience in the design, maintenance and application of a customized critical care, Microsoft SQL based, research warehouse, ICU DataMart. ICU DataMart integrates clinical and administrative data from heterogeneous sources within the EMR to support research and practice improvement in the ICUs. Examples of intelligent alarms -- "sniffers", administrative reports, decision support and clinical research applications are presented.
authors.affiliation: Multidisciplinary Epidemiology and Translational Research in Intensive Care (METRIC) Mayo Clinic, Rochester, MN 55905, USA.
authors.forename: Man
authors.initials: M
authors.lastname: Li
authors.forename: Brian W
authors.initials: BW
authors.lastname: Pickering
authors.forename: Vernon D
authors.initials: VD
authors.lastname: Smith
authors.forename: Mirsad
authors.initials: M
authors.lastname: Hadzikadic
authors.forename: Ognjen
authors.initials: O
authors.lastname: Gajic
authors.forename: Vitaly
authors.initials: V
authors.lastname: Herasevich
mesh_terms: D003422:Critical Care; D003628:Database Management Systems; D020000:Decision Support Systems, Clinical; D057286:Electronic Health Records; D006801:Humans; D008490:Medical Informatics