Automated PO2, PCO2 and pH monitoring of infants

Clark, Justin S.; Veasy, L. George; Jung, August L.; Jenkins, Jarrell L.

doi:10.1016/0010-4809(71)90031-0

Cited by 6 publications

(3 citation statements)

References 1 publication

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“…With the advent of neonatal specialists in the 1970s, a NICU was established in many pediatric hospital services [ 29 ]. Initially the Primary Children's Hospital in Salt Lake City used the computer at the LDS Hospital, with which it was affi liated [ 33 ]. However, it soon employed a dedicated PDP-8 computer to process all the patient data generated in the NICU and used the LDS time-sharing computer for compiling and printing reports [ 54 ].…”

Section: Pediatricsmentioning

confidence: 98%

Information Systems for Clinical Subspecialties

Collen¹,

Lorenzi

2015

Health Informatics

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Some of the earliest applications of computers in clinical medicine were in the clinical subspecialties, including cardiology, pulmonary, nephrology, gastroenterology, pediatrics, and the surgical sciences. But health professionals found these prototypes diffi cult to use; data entry devices were awkward and ineffi cient, and order entry functions were often not integrated. Each information system for a clinical subspecialty (ISCS) evolved differently, with its own specialized functional and technical requirements. In the 1960s mainframe computers were limited in their ability to meet all the processing requirements of all the ICSCs in a large hospital. By the 1970s each ISCS could have its own minicomputer-based system linked directly to the central mainframe. Health care professionals used terminals connected to the central computer to enter orders and to receive test results; the central computer transferred the orders to the appropriate ISCS subsystems and integrated the data coming back from the ISCSs into the patients' records stored in the mainframe computer. In the 1980s local area networks linked multiple lower-cost minicomputers; with distributed minicomputers and interactive visual display terminals, clinicians could begin to benefi t from the ISCSs in direct patient care and each ISCS could develop its own system to meet its own requirements. In the 1990s distributed information systems allowed physicians to enter orders and retrieve test results using clinical workstations connected to client-server minicomputers in the local area network that linked the entire hospital, and patient data from all of the distributed ISCS databases were integrated in a computer-based patient record.

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Section: Pediatricsmentioning

confidence: 98%

Information Systems for Clinical Subspecialties

Collen¹,

Lorenzi

2015

Health Informatics

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“…Clark and associates [ 43 ] at the University of Utah described their Computerized Automated Blood Analysis System (CABAS), that was written in assembly language and used the computers at the nearby LDS Hospital to monitor blood gases and pH, blood sodium and potassium in children in a pediatric intensive care unit.…”

Section: Chemistrymentioning

confidence: 99%

Clinical Laboratory (LAB) Information Systems

Collen¹,

Miller

2015

Health Informatics

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The clinical laboratory (LAB) was an early adopter of computer technology, beginning with the chemistry and hematology laboratories, which had similar information processing requirements. LAB systems in the early 1960s were primarily offl ine, batch-oriented systems that used punched cards for data transfer to the hospital mainframe. The advent of minicomputers in the 1970s caused a rapid surge in the development of LAB systems that supported online processing of data from automated laboratory instruments. In the 1980s, LAB systems increasingly employed minicomputers to integrate data into a common database and satisfy functional requirements, including programs for quality control, reference values, trend analyses, graphical presentation, online test interpretations, and clinical guidelines. By 1987 about 20 % of US hospitals had computer links between their LAB systems and their hospital information systems and affi liated outpatient information systems. In the 1990s, LAB systems began using client-server architecture with networked workstations, and most hospitals had a variety of specialized clinical support information systems interconnected to form a medical information system with a distributed database of clinical data that constituted the electronic patient record. By the 2000s, several hundred different clinical tests were routinely available (there had been only a few dozen in the 1950s). The need for more sophisticated and powerful LAB systems has largely been met by commercially available standalone laboratory information systems (LIS); however, there is now increasing pressure to replace these products with the lab-system functionality of the enterprise-wide integrated electronic health record system, for which there is little reported experience.

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“…Few reports of the use of computers in neonatal intensive care units have appeared (Clark et al, 1971;Perlstein et al, 1976). We have used a computer to record and display data from newborn infants with respiratory illnesses.…”

mentioning

confidence: 99%