Scarlett P Y, Cooke W M, Clarke D, Bates C, Chan M
Ann R Coll Surg Engl. 1986 Jul;68(4):179-81.
This presentation reports the experience of the surgical house staff and registrars at Middlesbrough General Hospital who used a desk-top computer system to support their clinical diagnosis of acute abdominal pain. The results cover a two year period and are compared with a baseline period of one year. Substantial benefits followed the introduction of the computer-aided diagnostic support system; increased diagnostic accuracy of the whole surgical team, reduction in negative laparotomy rates, earlier surgical intervention for acute appendicitis, reduction in the number of cases of perforated appendicitis and more efficient use of resources. The reasons for these improvements include more thorough collection of data, use of common terminology and an educational element provided by detailed feedback from the computer system.
本报告介绍了米德尔斯堡综合医院外科住院医师和住院医生使用桌面计算机系统辅助急性腹痛临床诊断的经验。研究结果涵盖了两年期，并与一年的基线期进行了比较。引入计算机辅助诊断支持系统带来了显著益处；提高了整个外科团队的诊断准确性，降低了阴性剖腹率，对急性阑尾炎进行了更早的手术干预，减少了阑尾穿孔病例的数量，并更有效地利用了资源。这些改进的原因包括更全面地收集数据、使用通用术语以及计算机系统提供的详细反馈所带来的教育作用。
