2013-09-07

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Revision as of 19:05, 7 September 2013

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'''Akron Children's Hospital''' and IBM in
1966 started
a
“joint study”
to
determine if it was possible to eliminate
the
paperwork
or
at least part
of the paperwork
which
has burdened
the nurses and doctors in hospitals
for many years.
I stumbled across this unique video account of what possibly could be one of the first concerted efforts to use technology to increase efficiencies and reduce costs in healthcare delivery. It is a fascinating account of a joint
study
conducted
in
1961 by IBM and Akron General Hospital
.
The video is only a little over two minutes long and it is worth watching in its entirety
,
although the ending calls for your special attention. It feels almost surreal that 50 years ago the US healthcare industry started its attempts to use technology
to address the same issues
that we are still trying
to
address
today:
become
more efficient,
reduce
costs and
improve
patient care
;especially like the ending where Mr
.
Sherman from Akron proudly announces that they can now see "certain advantages taking place," that "it is going to be possible to relieve
the
doctors and nurses of some of their paperwork
,
" that "it is going to be possible to have correlation of diseases which we have not had before." In this short [http://www.youtube.com/watch?v=t-aiKlIc6uk video] then hospital president
Roger
J.
Sherman
introduces the system
,
giving a brief insight into how
the
system worked. One aspect of
the
very forward-thinking portrayed in this video
,
made in 1966
,
is that the nurse on the floor was reminded by the computer system when a medication was due for one
of
her patients
,
including the drug name
and
dosage. The conclusion reached in
the
video was that paperwork can be reduced,
disease
"
correlation
" can be performed, and errors reduced
.

+

'''Akron Children's Hospital''' and IBM in
1961 conducted
a
joint study
to
examine
the
viability of eliminating some
or
all
of the paperwork
that
has burdened
hospital personnel
for many years.
The
study
resulted
in
an initiative, announced on Feb
.
18, 1962
, to address
many of
the same issues
which health information technology strives
to
solve
today:
becoming
more efficient,
reducing
costs and
improving
patient care.
Two years into
the
effort
, Roger Sherman, the
hospital's administrator at
the
time
,
heralded developments such as drug dosage monitoring and harmful drug interaction alerts
,
both
of
which he said had improved quality of care
, and the
ability to track
disease correlation
[5].  The system also allowed users to easily view lab results on terminals
.  

 

 



== Introduction ==

+

The effort is sometimes neglected when
the
history
of the
development
of
electronic medical records is discussed
.
A 1966 film
on the
use of
computers in
healthcare features
Roger
Sherman showcasing
the
system [5] [6]
.

The
project
is
also discussed
in Melville H. Hodge’s 1978 book titled Medical Information Systems: A Resource for Hospitals, and a
2004
brochure titled Reducing Medical Errors: IT Helps Secure the Patient Safety Net [
3
].



 

+



Roger J. Sherman,
the
narrator
of the
above video, and former Children’s Hospital president died on May 18, 2011 at the age
of
96
.
His obituary [http://www.ohio.com/news/former-children-s-hospital-president-roger-j-sherman-dies-at-96-1.204864] was published
on
The Akron Beacon Journal’s web site (www.Ohio.com Akron), and contained
the
following:

+



 

+



* Long before anyone was using
computers
, way back
in
the 1960s,
Roger
had
the
foresight to see computers had their advantages,
.
..

+



* With an IBM grant, he introduced computers to the hospital. He used them to display lab results on each floor so that people didn't have to call down to the lab to get the information.

+



*
The
hospital's auditorium bears his name.

+



 

+



 

+



Akron Children’s Hospital, during the time period of this study,
is
one of the hospitals listed
in Melville H. Hodge’s 1978 book titled Medical Information Systems: A Resource for Hospitals
. The book states
,
“… in the early 1960s, a small group of hospitals became identified with one common goal, that of a commitment to serve as a site for the development of computerized handling of patient information.”

+



 

+



 

+



The hospital
and
IBM are also referred, during the same time period, in
a brochure titled Reducing Medical Errors: IT Helps Secure the Patient Safety Net [
http://www.ncbi.nlm.nih.gov/pubmed/15179735
]
, published by The McGraw-Hill Companies in 2004. It includes Children’s Hospital in a Safety First time line and states that in “1965: Children’s Hospital, Akron, Ohio, installs IBM model 1620 with 1710 process control system (shown in 1966 photo- graph at left) and keys for order entry, admissions, nutrition services and census information
.


+

 

 

 

== References ==

 

== References ==

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# http://www.ncbi.nlm.nih.gov/pubmed/15179735

 

# http://www.ncbi.nlm.nih.gov/pubmed/15179735

 

# http://www.navinet.net/blog/1961-year-electronic-health-record‎

 

# http://www.navinet.net/blog/1961-year-electronic-health-record‎



 

+

# http://bits.blogs.nytimes.com/2012/02/17/the-miracle-of-digital-health-records-50-years-ago/



 

+

# http://www.youtube.com/watch?v=t-aiKlIc6uk

 

 

 

[[Category: EHR]]

 

[[Category: EHR]]

 

[[Category: UT-SHIS SP09]]

 

[[Category: UT-SHIS SP09]]

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