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HIGH TECH MEDICINE: HELPING COMPUTERS
Doctor Jones examined his patient at the hospital. Hastily, he scribbled a message on her medical record ordering the attending nurse to increase the patient’s heart medicine. Then he left.
Fifteen minutes later, the nurse was complaining bitterly. She could not read the doctor’s crabbed handwriting; neither could anyone else. And the doctor was somewhere between the hospital and his home. For all the nurse knew, the patient’s life hung in the balance.
Similar incidents happen nearly every day in every hospital across this country, probably costing untold suffering and possibly hundreds of lives.
But at L.D.S. Hospital in Salt Lake City, Utah, a bedside computer system called HELP has all but eliminated such mix-ups. Now doctors and nurses can type their notes into a computer terminal. The computer’s electronic record for each patient contains results of examinations, laboratory tests, and treatments – from drugs to surgery. The computer stores the patient’s data for the doctor.
Responding to questions by a doctor or nurse, the computer displays on a TV screen the numbers that describe the patient’s condition, including temperature, blood pressure, fluid loss or gain, lab results, diet, and diagnosis. At the push of a button, the doctor also can see these numbers charted on a graph. Printouts can be made immediately.
Sure, doctors and nurses still make some mistakes, but since computerization, their error rate has dropped dramatically. Says Dr. Doug Ridges, an L.D.S. cardiologist, “There’s no question HELP improves the patient’s care and the physician’s efficiency. I can even use my computer in my office or in my home to check on a patient. I don’t have to take a nurse away from my patient to hunt down a medical record.”
Computers have started to enter medicine in a big way.
Says Dr. James Todd, a senior deputy executive vice president of the American Medical Association (AMA): “We here at the AMA are convinced the future of medicine and its advances will involve computers. Medical knowledge is doubling every 8 years. It will be impossible to keep up with that if we can’t computerize the information. We think more and more doctors will use the machines.”
It’s estimated that almost half of all physicians now use computers, mostly for keeping track of finances. But other uses are moving up fast.
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