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Am J Clin Pathol. 1985 Jun;83(6):707-15.
A data base approach to laboratory computerization.

McDonald CJ, Wheeler LA, Glazener T, Blevins L.

The Regenstrief Clinical Laboratory System (RCLS) has been operational since 1975 at Wishard Memorial Hospital in Indianapolis, Indiana. The clinician support, use of a true data base management system, and the user interfaces distinguish this system from many commercially available laboratory systems. Physician reports include laboratory, clinical (e.g., physical examination), pharmacy, and radiology data in a single, compact flow sheet. The system can search patient medical records for conditions that may require corrective action and inform physicians of the reasons these actions should be considered. The RCLS data base and its flexible data retrieval capabilities provide a variety of effective technics for monitoring laboratory utilization. The site-specific modifications required to transport this system do not require reprogramming. Important laboratory support features include highly "user friendly" design, multiple specimen numbering sequences, large amounts of free text, reports that can be tailored by non-programmer personnel, CAP accounting statistics, online instrument interfaces, and extensive online instructional facilities.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=4003339&dopt=Abstract

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Med Inform (Lond). 1985 Oct-Dec;10(4):287-99.
On-line prescription order and prescription support in an integrated hospital information system.

Ogura H, Yamamoto K, Furutani H, Kitazoe Y, Hirakawa M, Sagara E.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=4068831&dopt=Abstract

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Am J Hosp Pharm. 1985 Nov;42(11):2496-8.
Cost of implementing and maintaining a hospital-pharmacy-based online literature search system.

Souney PF, Churchill WW, Kaul AF.

The costs of implementing and maintaining an online literature search system are described. The drug information service component of the department of pharmaceutical services pursued computerization to ensure the availability of timely and comprehensive drug information and to provide hands-on experience in computerized literature retrieval for its undergraduate and graduate students. Three major implementation costs were identified: the cost of purchasing the computer hardware, the expense of a training program for the online search program, and the ongoing user's fee for access to the databases. These implementation expenses were covered through nontraditional sources of funding, and no money was required from the hospital. The system received hospital-wide publicity through a number of prominent communication vehicles when it was implemented. In its first year, there were 448 requests requiring computer searches of a total 4150 requests for drug information. Of these 448, 255 originated from physicians, 138 from pharmacists, and 55 from nurses and drug manufacturers. Medline was the most frequently accessed database, accounting for 62.6% of the charges; Toxline accounted for 32.3% and miscellaneous files 5.1%. The average monthly charge (user's fee) was +238, which was within the initial projection for the yearly expense. Because of the success of this program, the system's costs were added to the operating budget of the drug information service.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=4073067&dopt=Abstract

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