INCREASED PHYSICIAN EFFICIENCY IN THE INTENSIVE CARE NURSERY WITH A SINGLE ENTRY OF DATA AND COMPUTERIZED PRODUCTION OF FORMS, SUMMARIES AND LETTERS

Abstract

As the concern for the high-risk infant increases and the disease states multiply, so do the demands for adequate documentation and communication and correspondence to parents, physicians and allied health agencies regarding that infant's status. In order to provide accurate recording and distribution of this information, i.e., transport note, letters, State forms, discharge summary, etc., while preventing an unnecessary duplication of physician paperwork, the following project ensued. A comprehensive four page form for the recording of all available historical and pertinent data about the infant has been devised and repeatedly streamlined. An on-line computer system using COBOL Language and direct entry with light pen has evolved after the initial punch card entry system proved financially feasible and successful. Unconstrained data, e.g., exact temperature, weight and dose rather than group categories are recorded. The test of this system has been willing physician compliance and acceptance by the agencies and departments requesting data about the infant. The reduction of paperwork by > 50% has provided incentive with > 95% physician participation and acceptance. There is immediate availability of data on discharge.