Flanigan D P
Department of Surgery, University of Illinois College of Medicine Chicago.
Surgery. 1989 Nov;106(5):911-9.
Academic surgical units have a combination of computer needs, including access to the surgical literature, storage and retrieval of patient registry data, laboratory, and research data, generation of reports; statistical analysis of data; and word processing. A system that fulfills these requirements was developed for an academic vascular surgical unit. The system integrates these functions in a multi-user environment and is accessed from menus on multiple terminals in laboratories and offices in three hospitals and in staff members' homes. Databases currently include more than 7000 references to published articles in vascular surgery, a vascular registry consisting of more than 7500 patients, patient data from three integrated noninvasive vascular laboratories, data generated from both clinical and basic research, and a log of resident, fellow, and faculty operative experience. Statistical analysis, using essentially all modern statistical methods including sophisticated log-rank, proportional hazards, and multivariant analyses, can be performed on all databases, either separately or in any combination, without the need to reenter data. An electronic mail and messaging system provides for paperless communication between surgeons, research personnel, and clerical staff.
学术外科单位有多种计算机需求，包括获取外科文献、存储和检索患者登记数据、实验室及研究数据、生成报告、数据统计分析以及文字处理。为一个学术血管外科单位开发了一个满足这些要求的系统。该系统在多用户环境中整合了这些功能，可从三家医院的实验室和办公室以及工作人员家中的多个终端菜单进行访问。数据库目前包括7000多篇血管外科已发表文章的参考文献、一个由7500多名患者组成的血管登记册、来自三个综合无创血管实验室的患者数据、临床和基础研究产生的数据，以及住院医师、研究员和教员手术经验记录。使用包括复杂的对数秩检验、比例风险分析和多变量分析在内的几乎所有现代统计方法，可以对所有数据库分别或任意组合进行统计分析，无需重新输入数据。电子邮件和消息系统实现了外科医生、研究人员和文书工作人员之间的无纸化通信。
