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Biomedical subjects

H S Warford

Publications and source records attributed to H S Warford.

5 recordsLinked to original sources
PubMed1982

A computerized perinatal data system. The Arizona experience.

The development of a regional data system was one of the major objectives of the Arizona Perinatal Program funded by the Robert Wood Johnson Foundation. To achieve this objective, a decision was made to adopt and expand a perinatal data system under development at St. Joseph's Hospital in Phoenix. This shift from what was planned as a highly sophisticated single hospital system, which would include real-time data storage as well as paper acquired data, required certain sacrifices and resulted in certain problems as well as significant gains for the region. The data system is made up of two major components - (1) a paper record system in which the documents completed by physician or nurse serve both as the official medical record and computer-input document and (2) a computer using the Meditech Interpretive Information System (MIIS) version of the MUMPS operating system and language. Programs to achieve the goals and objectives established for the system are described. Lessons learned from this experience which may be helpful to others interested in similar developments are described.

Arizona↗
PubMed1981

Apgar index: a statistical tool.

Twenty-seven years has elapsed since Virginia Apgar proposed a new method of evaluation of the newborn infant. The proposal gained rapid and almost universal acceptance and has stood the test of time. Considered at first to be both a guide for resuscitation and a statistical tool, the latter is now its main use. Although the original score was applied at 1 minute of age, both a 1-minute scoring and a 5-minute scoring are now the general custom. There is, however, no general consensus as to which is the better indicator of outcome. Use of both as separate entities is cumbersome. A method which with a single number gives weight to both the 1-minute score and the 5-minute score and also to the relative change is described. An analysis of selected variables with use of this index is presented.

Apgar Score↗
PubMed1978

A computerized perinatal data system for a region.

The development of regionalized systems for perinatal care requires a record system which will provide a flow of patient information to and from referring and center hospitals. It should also provide for the risk evaluation of patients being cared for within the region as well as for the quality and statistical evaluation. When the Arizona Perinatal Program was established in 1975 with funding by the Robert Wood Johnson Foundation, the decision was made to adopt and expand a perinatal data system under development at St. Joseph's Hospital in Phoenix. This data system is made up of two major components: (1) a paper record system in which the documents completed by physician or nurse serve both as the medical record and a computer-input document and (2) a computer capable of simultaneous communication with 17 different terminals, directly or by telephone lines. Programs to meet the goals of patient care, quality evaluation, and statistical assessment are described.

Arizona↗
PubMedDate not supplied

A computerized perinatal data system.

A computerized perinatal data system has been proposed and is under implementation at St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA. The concept encompasses all phases of perinatal care from pre-natal consultation through transferral of infant care to the family paediatrician. A complete record system was designed and computerized to serve both in-house and regional institutions with an on-line data system. Extensions into labour-delivery and nursery are under way and will provide augmentation of health care delivery as well as serving educational, audit, and research needs.

Female↗