Bedside Computerization of the ICU, Design Issues: Benefits of Computerization Versus Ease of Paper and Pen

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Abstract
In the mid 1980’s the Surgical Intensive Care Unit (SICU) staff began searching for a bedside computer system. Their goal was to find a system that would create a computerized medical record, reduce the clerical burden on the staff and provide the necessary data for patient care and research in a unique and meaningful fashion. In the process, they hoped to reduce the time spent on documentation and to improve patient care. After evaluating the commercial products available on the market, the SICU staff determined that there were no “ready to go” products that would meet their needs and be able to interface with the Duke University Hospital Information System (DHIS). In the fall of 1987, the SICU staff approached the TMR staff with a proposal to develop a bedside computer system using TMR as the platform. TMR [1] is a comprehensive computer-based medical record system developed at the Duke University Medical Center (DUMC) in an evolutionary fashion over the past twenty years. Keywords Data Entry Surgical Intensive Care Unit Flow Sheet Computer Record Computerize Medical Record These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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