Читать книгу 40 Years of Continuous Renal Replacement Therapy - Группа авторов - Страница 22

All the data that are continuously generated by the patient and machine during treatment must be collected. While automatic feeding of patient data into the EMR is important for clinical purposes, data collection from CRRT machines is crucial both for technical and clinical purposes.

Machine connectivity can be provided via different tools. Machine and patient chip cards can be used to extract data from single treatments from the front-end terminal (CRRT machine). Cable or wireless connectivity may permit the download of technical and clinical parameters from single or multiple machines to analyze single treatment data as well as trends or statistics in multiple treatments. Cloud-based connectivity could help clinicians to generate virtual registries and analyze single treatments or center performance in absolute terms or relative to other units. This may result in important feedback to clinicians to either strictly control outliers or to change policies and procedures in case of repeatedly unsatisfactory results.

Data collected and stored in EMRs may be rapidly evaluated and managed by ad hoc designed electronic sniffers, which may alert clinicians about dangerous trends or unwanted effects of CRRT. Solutions to the problem may be listed as suggestions or may be even automatically fed back into devices such as pumps and CRRT machines. The feedback may either require manual application of the necessary change by a nurse/physician or authorization of an operational change proposed by the system, or it may operate automatically.