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Criteria in the Choice of a Computer System: Title and subTitle BreakI. The Computer in Theory FREE

Samuel Raymond, MD, PhD
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Reprint requests to 3400 Spruce St, Philadelphia, PA 19104 (Dr. Raymond).


JAMA. 1974;228(5):591-594. doi:10.1001/jama.1974.03230300031024
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THIS article reviews current laboratory computer systems from one user's viewpoint, and suggests a new criterion for evaluating them. The personal opinions expressed here are based on six years of intensive experience in designing and implementing a computer system for our laboratory; they derive whatever interest they possess from these facts: (1) our system has been operating successfully for the past four years, (2) it has won complete acceptance among the professional staff it serves, (3) it saves our hospital considerably more in actual dollars than it costs, and (4) it is ready for use in other hospitals.

It will be seen that these opinions do not agree with important, commonly held opinions about computer systems, their design, their objectives, and especially the way computer technology is now applied. Computer systems, in my opinion, exist to facilitate the care of the patient, rather than to exhibit the technical accomplishments of

REFERENCES

Greenes RA, et al:  A System for Clinical Data Management , in Fuller HW (ed): Proceedings Fall Joint Computer Conference . Montvale, NJ, Afips Press, 1969;, pp 297-305.
Lundberg DAB: The Computer and Medical Care . Springfield, Ill, Charles C Thomas, 1968;, p 210.
Gabrieli ER:  The use of data mechanization and computers in clinical medicine . Ann NY Acad Sci 161:371-830, 1969;.
Bond RL, et al:  Automatic screening of biological specimens by optical correlation . Science 179:571-572, 1973;.
Levin M:  Pattern recognition: Has it come of age? Laboratory Management , (November) 1972;, pp 31-32.
Melville RS:  Dials, meters, gadgets . Laboratory Management , (March) 1972;, pp 16-18.
Studies of Applications of Electronic Data Processing to Blood Management . Bethesda, Md, National Blood Resource Branch, National Institutes of Health, 1972;.
Sherman WN:  Clinical laboratory computerization: Parts I, II, III . Laboratory Management , (February) , March, April 1972;, pp 22-24, 26-33, 24-26, respectively.
Pribor H:  Where computer failed . Hospital Practice , (April) 1973;, p 45.

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Greenes RA, et al:  A System for Clinical Data Management , in Fuller HW (ed): Proceedings Fall Joint Computer Conference . Montvale, NJ, Afips Press, 1969;, pp 297-305.
Lundberg DAB: The Computer and Medical Care . Springfield, Ill, Charles C Thomas, 1968;, p 210.
Gabrieli ER:  The use of data mechanization and computers in clinical medicine . Ann NY Acad Sci 161:371-830, 1969;.
Bond RL, et al:  Automatic screening of biological specimens by optical correlation . Science 179:571-572, 1973;.
Levin M:  Pattern recognition: Has it come of age? Laboratory Management , (November) 1972;, pp 31-32.
Melville RS:  Dials, meters, gadgets . Laboratory Management , (March) 1972;, pp 16-18.
Studies of Applications of Electronic Data Processing to Blood Management . Bethesda, Md, National Blood Resource Branch, National Institutes of Health, 1972;.
Sherman WN:  Clinical laboratory computerization: Parts I, II, III . Laboratory Management , (February) , March, April 1972;, pp 22-24, 26-33, 24-26, respectively.
Pribor H:  Where computer failed . Hospital Practice , (April) 1973;, p 45.
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