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A computerized obstetric medical record

W W Stead, R G Brame, W E Hammond

Obstetrics and Gynecology

|April 1, 1977

Summary

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Computerized obstetric medical records at Duke University since 1971 show system success depends on physician acceptance and adaptable programming. Direct physician data entry via terminals could improve accuracy and completeness of obstetric records.

Area of Science:

Medical Informatics
Obstetrics and Gynecology
Health Information Systems

Background:

Duke University has used computerized obstetric medical records since 1971.
The evolution of this system is described, highlighting its long-term use.

Purpose of the Study:

To describe the evolution of a computerized obstetric medical records system.
To identify deficiencies and critical success factors in the system's implementation and use.

Main Methods:

The study describes the historical evolution of the computerized obstetric medical records system at Duke University.
Analysis of system deficiencies, focusing on the computer/human interface and physician interaction.

Main Results:

Related Experiment Videos

Deficiencies stem from the computer/human interface, not fundamental system design.

Physician acceptance of data collection sheets and rapid programming modifications are crucial for success.

Incomplete data collection is a significant limitation.

Conclusions:

Direct physician data entry through terminals is proposed to enhance data accuracy and completeness.
Adapting systems to physician needs and practice changes is vital for effective health information systems.