RESUMO
It is great to be able to say, if we had it to do over again, we would still do it.... But hindsight tells us we could have done some things better. We should have sinned bravely, and forged ahead with chart tracking in the main file room. The truth is, our inexperience with the technology made us overly cautious. We were, however, absolutely correct about the use of bar coding. Swift collection of accurate data is a treasure to be sought, bar coding is insurance of that treasure.
Assuntos
Processamento Eletrônico de Dados/instrumentação , Sistemas de Informação Hospitalar/instrumentação , Serviço Hospitalar de Registros Médicos/organização & administração , Sistemas Computadorizados de Registros Médicos/instrumentação , Tomada de Decisões , Estudos de Avaliação como Assunto , Controle de Formulários e Registros , Hospitais com mais de 500 Leitos , Hospitais Universitários/organização & administração , Philadelphia , Técnicas de PlanejamentoRESUMO
The Medical Computer Facility at the Fox Chase Cancer Center has installed X-terminals in patient examination rooms and at nursing stations for clinical data access by physicians and nurses. The X-terminals are connected to UNIX operating system RISC processors via Ethernet. The RISC processors communicate with databases on a minicomputer cluster. Simultaneous presentation of textual (e.g., pathology and radiology reports) and graphical (e.g., clinical laboratory results) clinical data is provided under X-Windows. CT and MRI images can also be displayed in windows. Our experiences implementing X-terminal clinical workstations in a production environment will be discussed.