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      Les Tecnologies de la Informació i la Comunicació, i el Big Data als Serveis de Medicina Intensiva Translated title: Las Tecnologías de la Información y la Comunicación y el Big Data en los Servicios de Medicina Intensiva Translated title: The Information and Communication Technologies, and the Big Data in the Intensive Care Units

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          Abstract

          Resum Les noves tecnologies han capacitat als serveis de medicina intensiva per poder obtenir i gestionar grans quantitats d'informació que venen de diverses fonts. Aquesta informació s'obté amb diferents dispositius que conformen les TIC (tecnologia de la informació i la comunicació). Les grans bases de dades o Big Data contribueixen a millorar el coneixement i per tant a elaborar millors estratègies de tractament. Amb aquestes possibilitats apareixen un seguit de reptes que ens haurem de plantejar com poden ser: la manera d'obtenir les dades, com canvia la relació del personal sanitari amb el pacient, quin nivell de fiabilitat tenen les dades, com es protegeixen, qui n'és el propietari i com es comparteixen, etc.

          Translated abstract

          Resumen Las nuevas tecnologías han permitido a los servicios de medicina intensiva poder obtener y gestionar grandes cantidades de información que vienen de varias fuentes. Esta información se obtiene con diferentes dispositivos que conforman las TIC (tecnología de la información y la comunicación). Las grandes bases de datos o Big Data contribuyen a mejorar el conocimiento y por tanto a elaborar mejores estrategias de tratamiento. Con estas posibilidades aparecen una serie de retos que nos tendremos que plantear, como pueden ser: la manera de obtener los datos, como cambia la relación del personal sanitario con el paciente, qué nivel de fiabilidad tienen los datos, como se protegen, quién es el propietario y como se comparten, etc.

          Translated abstract

          Abstract The new technologies have made the intensive medical services to be able to obtain and manage large amount of data from different sources. This information is obtained by different devices that make up ICT (information and communication technology). The Big Data contribute to improving knowledge and therefore developing better treatment strategies. With these possibilities, there are a number of challenges that we should consider: how to obtain data, how to change the relationship between healthcare staff and the patient, what level of reliability they have, how to protect them, who is the owner and how they are shared, etc.

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          Critical Care, Critical Data

          As big data, machine learning, and artificial intelligence continue to penetrate into and transform many facets of our lives, we are witnessing the emergence of these powerful technologies within health care. The use and growth of these technologies has been contingent on the availability of reliable and usable data, a particularly robust resource in critical care medicine where continuous monitoring forms a key component of the infrastructure of care. The response to this opportunity has included the development of open databases for research and other purposes; the development of a collaborative form of clinical data science intended to fully leverage these data resources, and the creation of data-driven applications for purposes such as clinical decision support. Most recently, data levels have reached the thresholds required for the development of robust artificial intelligence features for clinical purposes. The systematic capture and analysis of clinical data in both individuals and populations allows us to begin to move toward precision medicine in the intensive care unit (ICU). In this perspective review, we examine the fundamental role of data as we present the current progress that has been made toward an artificial intelligence (AI)-supported, data-driven precision critical care medicine.
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            Risk, Benefit, and Fairness in a Big Data World

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              Technology meets tradition: The perceived impact of the introduction of information and communication technology on ward rounds in the intensive care unit.

              Public policy in many health systems is currently dominated by the quest to find ways to 'do more with less'-to achieve better outcomes at a reduced cost. The success or failure of initiatives in support of this quest are often understood in terms of an adversarial dynamic or struggle between the professional logics of medicine and of management. Here, we use the case of the introduction of information and communication technology (ICT) to a well-established ritual of medical autonomy (the medical ward round) to articulate a more nuanced explanation of how and why new ways of working with technology are accepted and adopted (or not).
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                Author and article information

                Journal
                bioetica
                Revista de Bioética y Derecho
                Rev. Bioética y Derecho
                Observatori de Bioètica i Dret - Cátedra UNESCO de Bioética (Barcelona, Barcelona, Spain )
                1886-5887
                2020
                : 48
                : 139-148
                Affiliations
                [1] orgnameHospital de Barcelona-SCIAS orgdiv1Cap de Servei de Medicina Intensiva Spain
                Article
                S1886-58872020000100010 S1886-5887(20)00004800010
                4de18f0d-3304-436b-ba28-2cb86ea40847

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

                History
                : 30 July 2019
                : 15 July 2019
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 12, Pages: 10
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                SciELO Spain


                Big data,medicina intensiva,TIC,informació i comunicació,información y comunicación,critical care,ICT,communication

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