Gordon M, de Wardener H E, Venn C, Webb J T, Adams H
Proc Eur Dial Transplant Assoc. 1981;18:690-6.
Experiments showed a small computer could improve access to large concentrations of clinical data in renal dialysis and transplantation and enhance the clinical feedback loop which controls substitute renal function. Interactive access adds a sub-loop which allows close adaptation to clinical use. Prototype software was transferred to an LSI-11 microcomputer with 20 Mbyte cartridge discs, multiple remote VDUs and video graphic displays and printer-plotter. Data capture is both manual and by automatic transfer from laboratory computers. Push-button interaction displays clusters of data, including computed functions, as graphs and tables on variable time scales. programmed scans generate data-base analyses. The system reconfigures for individual sites. The microcomputer version has run routinely for a year and proved a practical tool at acceptable cost. Down-time has been small but strongly resented by medical and nursing staff. The system can accommodate 750 patients, but has also been 'stretched' for an oncology laboratory and configured for other specialities.
实验表明，一台小型计算机能够改善获取大量肾透析和移植临床数据的途径，并增强控制替代肾功能的临床反馈回路。交互式访问增加了一个子回路，可实现与临床应用的紧密适配。原型软件被移植到一台配备20兆字节盒式磁盘、多个远程视频显示单元以及视频图形显示器和打印绘图仪的LSI - 11微型计算机上。数据采集既可以手动进行，也可以通过从实验室计算机自动传输。按钮式交互以图表形式在可变时间尺度上显示数据集群，包括计算功能。编程扫描可生成数据库分析。该系统可针对各个站点进行重新配置。微型计算机版本已常规运行一年，且被证明是以可接受成本的实用工具。停机时间虽短，但医护人员对此深感不满。该系统可容纳750名患者，不过也曾为一个肿瘤实验室进行“扩展”，并针对其他专业进行配置。
