Two schools of philosophy exist regarding the interfacing of physicians and communications systems. The first maintains that the physician must have full-time access to the patients’ files and orders, and be able to manipulate these at a dedicated terminal. The second supports the physician using a convenient means of interface which requires minimal medical involvement and training. Arguments and systems exist which support both alternatives [23, 24]. Historically, each approach has been successful in the mode in which it operates. Our major difficulty in dealing with an on-line physician is the cost associated with such high loading factors. Our staff consists of approximately 800 residents, faculty, and students. If we failed to intimately reach any one of these individuals, the system would be subjected to severe stress. As a department, we believed this was an unnecessary risk and well beyond the primary goals and objectives of the initial hospital’s information system program.
KeywordsOrder Form Audit Trail Specimen Number Medical Record Number Nursing Station
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