Yearb Med Inform 1996; 05(01): 65-73
DOI: 10.1055/s-0038-1638047
Review Paper
Georg Thieme Verlag KG Stuttgart

Multimedia Workstations: Electronic Assistants for HealthCare Professionals

P. Degoulet
1   Broussais University Hospital and Paris VI University, Paris, France
,
F-C. Jean
1   Broussais University Hospital and Paris VI University, Paris, France
,
C. Safran
2   Harvard Medical School, Center for Clinical Computing, Boston MA, USA
› Author Affiliations
Further Information

Publication History

Publication Date:
05 March 2018 (online)

 

Abstract

The increasing costs of health care and the economic reality has produced an interesting paradox for the health professional to perform more clinical work with fewer support personnel. Moreover, an explosion of the knowledge-base that underlies sound clinical care not only makes effective time management critical, but also knowledge management compelling. A multimedia workstation is an electronic assistant for the busy health professional that can help with administrative tasks and give access to clinical information and knowledge networks. The multimedia nature of processed information reflects an evolution of medical technologies that involve more and more complex objects such as video sequences or digitized signals. Analysis of the 445 Medline-indexed publications for the January 1991 to December 1994 period, that included the word “workstation” either in their title or in their abstract, helps in refining objectives and challenges both for health professionals and decision makers. From an engineering perspective, development of a workstation requires the integration into the same environments of tools to localize, access, manipulate and communicate the required information. The long-term goal is to establish an easy access in a collaborative working environment that gives the end-user the feeling of a single virtual health enterprise, driven by an integrated computer system when the information system relies on a set of heterogeneous and geographically distributed components. Consequences in terms of migration from traditional client/server architectures to more client/network architectures are considered.


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  • References

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  • 2 Degoulet P, Safran C, Bowers GH. Design and processing issues for the health care professional workstation: summary and recommendations. Int J Biomed Comput 1994; 34: 241-7.
  • 3 Jacobson TJ. Workstations as enabling technology for the computer-based patient record (CPR): point of care approaches across the patient care continuum - nursing’s perspective. Int J Biomed Comput 1994; 34: 123-29.
  • 4 Silva J, Zawilski A. The health care professional’s workstation: Its functional components and user impact. In: Ball MJ, Collen MF. eds. Aspects of the Computer- based Patient Record New-York: Springer Verlag; 1992: 102-24.
  • 5 Tang PC, Annevelink J, Fafchamps D, Stanton WM, Young CY. Physician’s Workstations: Integrated Information Management for Clinicians. In: Clayton PD. ed. Fifteenth Annual Symposium on Computer Applications in Medical Care New-York: McGraw-Hill; 1991: 569-73.
  • 6 Van Mulligen E, Timmers T, van Bemmel J, van den Heuvel F. Functional requirements for an integrated medical workstation. In: Lun KC, Degoulet P, Piemme T, Rienhoff O. eds. Proceedings Medlnfo 1992. Amsterdam: North-Holland; 1992: 1261-6.
  • 7 Safran C. Defining clinical workstations. Int J Biomed Comput 1994; 34: 261-5.
  • 8 Greenes RA, Collen M, Shannon RH. Functional requirements as an integral part of the design and development process: summary and recommendations. Int J Biomed Comput 1994; 34: 59-76.
  • 9 Jean FC, Lavril M, Lemaitre D, Sauquet D, Degoulet P. A software engineering approach for medical workstation development. Int J Biomed Cotnput 1994; 34: 249-60.
  • 10 Brown AL, Earl AN, McDermid JA. Software engineering environments. Automated supportforsoftware engineering . London: McGraw-Hill; 1992
  • 11 Molteno B. Administrators’ and health services researchers’ requirements for workstations. Int J Biomed Comput 1994; 34: 77-83.
  • 12 Nowlan W A. Clinical workstations: identifying clinical requirements and understanding clinical information. Inti Biomed Comput 1994; 34: 85-94.
  • 13 Timka T, Sjoberg C, Svensson B. The pragmatics of clinical hypermedia: experiences from 5 years of participatory design in the MEDEA project. Comput Methods Programs Biomed 1995; 46: 175-86.
  • 14 Tang PC, Jaworski MA, Fellencer CA, LaRosa MP, Lassa JM, Lipsey P, Marquardt WC. Methods for assessing information needs of clinicians in ambulatory care. In: Gardner RM. ed. Nineteenth Symposium on Computer Applications in Medical Care Philadelphia: Hanley & Belfus Inc.; 1995: 630-4.
  • 15 Coble JM, Maffitt JS, Orland MJ, Kahn MG. Contextual inquiry: discovering physicians’ true needs. In: Gardner RM. ed. Nineteenth Symposium on Computer Applications in Medical Care Philadelphia: Hanley & Belfus Inc; 1995: 469-73.
  • 16 Cimino JJ, Socratous SA, Clayton PD. Internet as clinical information system: using the World Wide Web. J Am Med Inform Assoc 1995; 2: 273-84.
  • 17 Lowe JJ, Lomax EC, Polonket SE. The World Wide Web: a review of an emerging Internet-based technology for the distribution of biomedical information. J Am Med Inform Assoc 1996; 3: 1-14.
  • 18 Jagannathan V, Reddy YV, Srinivcas K, Karinthi R, Reddy SS, Almasi G, Davis T, Raman R, Qiu S, Friedman S. An overview of the CERCARTEMIS project. In: Gardner RM. ed. Nineteenth Symposium on Computer Applications in Medical Care Philadelphia: Hanley & Belfus Inc; 1995: 12-6.
  • 19 Scherrer JR. Communications - future needs and present solutions. Int J Biomed Comput 1995; 39: 47-52.
  • 20 Vaughan BJ, Torok KE, Kelly LM, Ewing DJ. A client/server approach to telemedicine. In: Gardner RM. ed. Nineteenth Symposium on Computer Applications in Medical Care Philadelphia: Hanley & Belfus Inc; 1995: 776-80.
  • 21 Ratib O, Ligier Y, Scherrer JR. Digital image management and communication in medicine. Comput Med Imag Graph 1994; 18: 73-84.
  • 22 Scott WW, Bluemke DA, Mysko WK, Weller GE, Kelen GD, Reichle RL, Weller JC, Gitlin JN. Interpretation of emergency department radiographs by radiologists and emergency medicine physicians: teleradiology workstation versus radiograph readings. Radiology 1995; 195: 223-9.
  • 23 Wilson AJ, Hodge JC. Digitized radiographs in skeletal trauma: a performance comparison between a digital workstation ‘and the original film images. Radiology 1995; 196: 565-8.
  • 24 Safran CD, Porter D, Lightfoot J, Rury CD, Underhill LH, Bleich HL, Slack WV. ClinQuery: a system for on-line searching of data in a teaching hospital. Ann Int Med 1989; 111: 751-6.
  • 25 Safran C, Chute CG. Exploration and exploitation of clinical databases. Int J Biomed Comput 1995; 39: 151-6.
  • 26 Chute CG. Medical information retrieval and WWW browsers at Mayo. In: Gardner RM. ed. Nineteenth Symposium on Computer Applications in Medical Care Philadelphia: Hanley & Belfus Inc; 1995: 903-7.
  • 27 Weed LL. Knowledge coupling. New premises and new tools for medical care and education. New-York: Springer-Verlag; 1991
  • 28 Hersh W, Hickam D. Use of a multiapplication computer workstation inaclinical setting. Bull Med Libr Assoc 1994; 82: 382-9.
  • 29 Barnes M, Barnett GO. An architecture for a distributed guideline server. In: Gardner RM. ed. Nineteenth Symposium on Computer Applications in Medical Care Philadelphia: Hanley & Belfus Inc; 1995: 233-7.
  • 30 Greenes RA.. Locators, constructors and trackers: meta-level tools for supporting health care professional information needs in a distributed computing milieu. In: Lun KC, Degoulet P, Piemme T, Rienhoff O. eds. Proceedings Medlnfo 1992. Amsterdam: North-Holland; 1992: 2-7.
  • 31 Hufnagel S, Harbison K, Silva J, Mettala E. Healthcare professional workstation: software system construction using OSSA scenario-based engineering process. Int J Biomed Comput 1994; 34: 375-86.
  • 32 Le Meur R, Georgoulis G, Jean FC, Zapletal E, Lemaitre D, Doné L. Analysing and developing object-oriented medical application with HELlOS. Comput Methods Programs Biomed 1994; 45: S23-S34.
  • 33 Rumbaugh J, Blaha WPremerlani, Eddy F, Lorensen W. Object-oriented modeling and design. Englewood Cliffs, New Jersey: Prentice Hall; 1991
  • 34 Hutt A TF. Object Analysis and Design. Description of Methods. New York: John Wiley & Sons; 1994
  • 35 OMG. The Common Object Request Broker: Architecture and Specification. OMG Document Number 91.12.1 Revision 1.1 X/Open publisher,1992.
  • 36 Van Mulligen E, Comet R, Timmers T. Problems with integrating legacy systems. In: Gardner RM. ed. Nineteenth Symposium on Computer Applications in Medical Care Philadelphia: Hanley & Belfus Inc; 1995: 747-51.
  • 37 Gangopadhyay D, Barsalou T. On the semantic equivalence of heterogeneous representations in multimodel multidatabase systems. SIGMOD Record 1991; 20: 40-3.
  • 38 Dore L, Lavril M, Jean FC, Degoulet P. An object-oriented computer-based patient record reference model. In: Gardner RM. ed. Nineteenth Symposium on Computer Applications in Medical Care Philadelphia: Hanley & Belfus Inc; 1995: 377-81.
  • 39 Cheong FC. Internet Agents: Spiders, Wanderers, Brokers, and Bots. Indianapo’ lis In: New Riders 1996
  • 40 Tang PC, Annevelink J, Suermondt HJ, Young CY. Semantic integration in a physician’s workstation. Int J Biomed Comput 1994; 35: 47-60.
  • 41 Chute CG, Cesnik B, van Bemmel JH. Medical data and knowledge management by integrated medical workstation: summary and recommendations. Int J Biomed Comput 1994; 34: 175-83.
  • 42 Sandblad B. Software requirements for the design and development of efficient user interfaces. In: Timmers T, Blum B. eds. Proceedings /MIA Working Conference on Software Engineering in Medical Informatics. Amsterdam: North-Holland; 1991: 139-50.
  • 43 Fafchamps D, Young CY, Tang P. Modelling work practices: input to the design of a physician’s workstation. In: Clayton PD. ed. Fifteenth Annual Symposium on Computer Applications in Medical Care New-York: McGraw-Hill; 1991: 788-92.
  • 44 Hix D. Generations of User-Interface Management Systems. IEEE Software 1990; 7: 77-87.
  • 45 Hinds A, Greenspun P, Kahane IS. WHAM!: a form constructor for medical record access via the World Wide Web. In: Gardner RM. ed. Nineteenth Symposium on Computer Applications in Medical Care Philadelphia: Hanley & Belfus Inc; 1995: 116-20.
  • 46 Tachinardi U, Furuie SS, Bertozzo N, Moura L, Gutierrez MA, Melo CP. Hypermedia patient data retrieval and presentation through WWW. In: Gardner RM. ed. Nineteenth Symposium on Computer Applications in Medical Care Philadelphia: Hanley & Belfus Inc; 1995: 551-5.
  • 47 De Moor JE. European standards developments in healthcare informatics: actual and future challenges. Int J Biomed Comp 1995; 39: 81-5.
  • 48 Hammond WE. The status of healthcare standards in the United States. Int J Biomed. Comp 1995; 39: 87-92.
  • 49 Barber B, Garwood D, Skerman P. Security in hospital information systems. Int J t Biomed Comp 1995; 39: 133-8.
  • 50 Barrows RC, Clayton PD. Privacy, confidentiality, and electronic medical records. J Am Med Inform Assoc 1996; 3: 103-11.
  • 51 Patil R. Architecture for a health care provider’s workstation. Int J Biomed Comp 1994; 34: 285-99.
  • 52 Olsen PS. Aspects of integration in HIS. Int J Biomed Comp 1995; 39: 53-7.
  • 53 Degoulet P, Jean PC, Safran PC. The health care multimedia workstation: development and integration issues. Int J BiomedComp 1995; 39: 119-25.
  • 54 Cimino JJ, Clayton PD, Hripcsak G, Johnson SB. Knowledge-based approaches to the maintenance of a large controlled medical terminology. J Am Med Inform Assoc 1994; 1: 35-50.
  • 55 Rector AL, Glowinski AJ, Nowlan WA, Rossi-Mori A. Medical-concept models and medical records: an approach based on Galen and Pen&Pad. J Am Med Inform Assoc 1995; 2: 19-35.
  • 56 Gennari JH, Oliver DE, Pratt W, Rice J, Musen MA. A Web-based architecture for a medical vocabulary server. In: Gardner RM. ed. Nineteenth Symposium on Computer Applications in Medical Care Philadelphia: Hanley & Belfus Inc; 1995: 275-9.
  • 57 Orthner HF, Scherrer JR, Dahlen R. Sharing and communicating health care information: summary and recommendations. Int J Biomed Com put 1994; 34: 303-18.
  • 58 Gremy F, Degoulet P. Assessment of information technology: which questions for which systems? Proposal for a taxonomy. Medical Informatics 1993; 18: 185-93.
  • 59 Van Bemmel JH. A model for the assessment of workstation for healthcare support. Int J Biomed Comput 1994; 34: 365-71.

  • References

  • 1 Hammond JE, Berger RG, Carey TS, Rutledge R, Cleveland TJ, Kichak JP, Ayscue CF. Making the transition from information systems of the 1970s to medical information systems of the 1990 s: the role of the physician’s workstation. J Med Systems 1991; 15: 257-67.
  • 2 Degoulet P, Safran C, Bowers GH. Design and processing issues for the health care professional workstation: summary and recommendations. Int J Biomed Comput 1994; 34: 241-7.
  • 3 Jacobson TJ. Workstations as enabling technology for the computer-based patient record (CPR): point of care approaches across the patient care continuum - nursing’s perspective. Int J Biomed Comput 1994; 34: 123-29.
  • 4 Silva J, Zawilski A. The health care professional’s workstation: Its functional components and user impact. In: Ball MJ, Collen MF. eds. Aspects of the Computer- based Patient Record New-York: Springer Verlag; 1992: 102-24.
  • 5 Tang PC, Annevelink J, Fafchamps D, Stanton WM, Young CY. Physician’s Workstations: Integrated Information Management for Clinicians. In: Clayton PD. ed. Fifteenth Annual Symposium on Computer Applications in Medical Care New-York: McGraw-Hill; 1991: 569-73.
  • 6 Van Mulligen E, Timmers T, van Bemmel J, van den Heuvel F. Functional requirements for an integrated medical workstation. In: Lun KC, Degoulet P, Piemme T, Rienhoff O. eds. Proceedings Medlnfo 1992. Amsterdam: North-Holland; 1992: 1261-6.
  • 7 Safran C. Defining clinical workstations. Int J Biomed Comput 1994; 34: 261-5.
  • 8 Greenes RA, Collen M, Shannon RH. Functional requirements as an integral part of the design and development process: summary and recommendations. Int J Biomed Comput 1994; 34: 59-76.
  • 9 Jean FC, Lavril M, Lemaitre D, Sauquet D, Degoulet P. A software engineering approach for medical workstation development. Int J Biomed Cotnput 1994; 34: 249-60.
  • 10 Brown AL, Earl AN, McDermid JA. Software engineering environments. Automated supportforsoftware engineering . London: McGraw-Hill; 1992
  • 11 Molteno B. Administrators’ and health services researchers’ requirements for workstations. Int J Biomed Comput 1994; 34: 77-83.
  • 12 Nowlan W A. Clinical workstations: identifying clinical requirements and understanding clinical information. Inti Biomed Comput 1994; 34: 85-94.
  • 13 Timka T, Sjoberg C, Svensson B. The pragmatics of clinical hypermedia: experiences from 5 years of participatory design in the MEDEA project. Comput Methods Programs Biomed 1995; 46: 175-86.
  • 14 Tang PC, Jaworski MA, Fellencer CA, LaRosa MP, Lassa JM, Lipsey P, Marquardt WC. Methods for assessing information needs of clinicians in ambulatory care. In: Gardner RM. ed. Nineteenth Symposium on Computer Applications in Medical Care Philadelphia: Hanley & Belfus Inc.; 1995: 630-4.
  • 15 Coble JM, Maffitt JS, Orland MJ, Kahn MG. Contextual inquiry: discovering physicians’ true needs. In: Gardner RM. ed. Nineteenth Symposium on Computer Applications in Medical Care Philadelphia: Hanley & Belfus Inc; 1995: 469-73.
  • 16 Cimino JJ, Socratous SA, Clayton PD. Internet as clinical information system: using the World Wide Web. J Am Med Inform Assoc 1995; 2: 273-84.
  • 17 Lowe JJ, Lomax EC, Polonket SE. The World Wide Web: a review of an emerging Internet-based technology for the distribution of biomedical information. J Am Med Inform Assoc 1996; 3: 1-14.
  • 18 Jagannathan V, Reddy YV, Srinivcas K, Karinthi R, Reddy SS, Almasi G, Davis T, Raman R, Qiu S, Friedman S. An overview of the CERCARTEMIS project. In: Gardner RM. ed. Nineteenth Symposium on Computer Applications in Medical Care Philadelphia: Hanley & Belfus Inc; 1995: 12-6.
  • 19 Scherrer JR. Communications - future needs and present solutions. Int J Biomed Comput 1995; 39: 47-52.
  • 20 Vaughan BJ, Torok KE, Kelly LM, Ewing DJ. A client/server approach to telemedicine. In: Gardner RM. ed. Nineteenth Symposium on Computer Applications in Medical Care Philadelphia: Hanley & Belfus Inc; 1995: 776-80.
  • 21 Ratib O, Ligier Y, Scherrer JR. Digital image management and communication in medicine. Comput Med Imag Graph 1994; 18: 73-84.
  • 22 Scott WW, Bluemke DA, Mysko WK, Weller GE, Kelen GD, Reichle RL, Weller JC, Gitlin JN. Interpretation of emergency department radiographs by radiologists and emergency medicine physicians: teleradiology workstation versus radiograph readings. Radiology 1995; 195: 223-9.
  • 23 Wilson AJ, Hodge JC. Digitized radiographs in skeletal trauma: a performance comparison between a digital workstation ‘and the original film images. Radiology 1995; 196: 565-8.
  • 24 Safran CD, Porter D, Lightfoot J, Rury CD, Underhill LH, Bleich HL, Slack WV. ClinQuery: a system for on-line searching of data in a teaching hospital. Ann Int Med 1989; 111: 751-6.
  • 25 Safran C, Chute CG. Exploration and exploitation of clinical databases. Int J Biomed Comput 1995; 39: 151-6.
  • 26 Chute CG. Medical information retrieval and WWW browsers at Mayo. In: Gardner RM. ed. Nineteenth Symposium on Computer Applications in Medical Care Philadelphia: Hanley & Belfus Inc; 1995: 903-7.
  • 27 Weed LL. Knowledge coupling. New premises and new tools for medical care and education. New-York: Springer-Verlag; 1991
  • 28 Hersh W, Hickam D. Use of a multiapplication computer workstation inaclinical setting. Bull Med Libr Assoc 1994; 82: 382-9.
  • 29 Barnes M, Barnett GO. An architecture for a distributed guideline server. In: Gardner RM. ed. Nineteenth Symposium on Computer Applications in Medical Care Philadelphia: Hanley & Belfus Inc; 1995: 233-7.
  • 30 Greenes RA.. Locators, constructors and trackers: meta-level tools for supporting health care professional information needs in a distributed computing milieu. In: Lun KC, Degoulet P, Piemme T, Rienhoff O. eds. Proceedings Medlnfo 1992. Amsterdam: North-Holland; 1992: 2-7.
  • 31 Hufnagel S, Harbison K, Silva J, Mettala E. Healthcare professional workstation: software system construction using OSSA scenario-based engineering process. Int J Biomed Comput 1994; 34: 375-86.
  • 32 Le Meur R, Georgoulis G, Jean FC, Zapletal E, Lemaitre D, Doné L. Analysing and developing object-oriented medical application with HELlOS. Comput Methods Programs Biomed 1994; 45: S23-S34.
  • 33 Rumbaugh J, Blaha WPremerlani, Eddy F, Lorensen W. Object-oriented modeling and design. Englewood Cliffs, New Jersey: Prentice Hall; 1991
  • 34 Hutt A TF. Object Analysis and Design. Description of Methods. New York: John Wiley & Sons; 1994
  • 35 OMG. The Common Object Request Broker: Architecture and Specification. OMG Document Number 91.12.1 Revision 1.1 X/Open publisher,1992.
  • 36 Van Mulligen E, Comet R, Timmers T. Problems with integrating legacy systems. In: Gardner RM. ed. Nineteenth Symposium on Computer Applications in Medical Care Philadelphia: Hanley & Belfus Inc; 1995: 747-51.
  • 37 Gangopadhyay D, Barsalou T. On the semantic equivalence of heterogeneous representations in multimodel multidatabase systems. SIGMOD Record 1991; 20: 40-3.
  • 38 Dore L, Lavril M, Jean FC, Degoulet P. An object-oriented computer-based patient record reference model. In: Gardner RM. ed. Nineteenth Symposium on Computer Applications in Medical Care Philadelphia: Hanley & Belfus Inc; 1995: 377-81.
  • 39 Cheong FC. Internet Agents: Spiders, Wanderers, Brokers, and Bots. Indianapo’ lis In: New Riders 1996
  • 40 Tang PC, Annevelink J, Suermondt HJ, Young CY. Semantic integration in a physician’s workstation. Int J Biomed Comput 1994; 35: 47-60.
  • 41 Chute CG, Cesnik B, van Bemmel JH. Medical data and knowledge management by integrated medical workstation: summary and recommendations. Int J Biomed Comput 1994; 34: 175-83.
  • 42 Sandblad B. Software requirements for the design and development of efficient user interfaces. In: Timmers T, Blum B. eds. Proceedings /MIA Working Conference on Software Engineering in Medical Informatics. Amsterdam: North-Holland; 1991: 139-50.
  • 43 Fafchamps D, Young CY, Tang P. Modelling work practices: input to the design of a physician’s workstation. In: Clayton PD. ed. Fifteenth Annual Symposium on Computer Applications in Medical Care New-York: McGraw-Hill; 1991: 788-92.
  • 44 Hix D. Generations of User-Interface Management Systems. IEEE Software 1990; 7: 77-87.
  • 45 Hinds A, Greenspun P, Kahane IS. WHAM!: a form constructor for medical record access via the World Wide Web. In: Gardner RM. ed. Nineteenth Symposium on Computer Applications in Medical Care Philadelphia: Hanley & Belfus Inc; 1995: 116-20.
  • 46 Tachinardi U, Furuie SS, Bertozzo N, Moura L, Gutierrez MA, Melo CP. Hypermedia patient data retrieval and presentation through WWW. In: Gardner RM. ed. Nineteenth Symposium on Computer Applications in Medical Care Philadelphia: Hanley & Belfus Inc; 1995: 551-5.
  • 47 De Moor JE. European standards developments in healthcare informatics: actual and future challenges. Int J Biomed Comp 1995; 39: 81-5.
  • 48 Hammond WE. The status of healthcare standards in the United States. Int J Biomed. Comp 1995; 39: 87-92.
  • 49 Barber B, Garwood D, Skerman P. Security in hospital information systems. Int J t Biomed Comp 1995; 39: 133-8.
  • 50 Barrows RC, Clayton PD. Privacy, confidentiality, and electronic medical records. J Am Med Inform Assoc 1996; 3: 103-11.
  • 51 Patil R. Architecture for a health care provider’s workstation. Int J Biomed Comp 1994; 34: 285-99.
  • 52 Olsen PS. Aspects of integration in HIS. Int J Biomed Comp 1995; 39: 53-7.
  • 53 Degoulet P, Jean PC, Safran PC. The health care multimedia workstation: development and integration issues. Int J BiomedComp 1995; 39: 119-25.
  • 54 Cimino JJ, Clayton PD, Hripcsak G, Johnson SB. Knowledge-based approaches to the maintenance of a large controlled medical terminology. J Am Med Inform Assoc 1994; 1: 35-50.
  • 55 Rector AL, Glowinski AJ, Nowlan WA, Rossi-Mori A. Medical-concept models and medical records: an approach based on Galen and Pen&Pad. J Am Med Inform Assoc 1995; 2: 19-35.
  • 56 Gennari JH, Oliver DE, Pratt W, Rice J, Musen MA. A Web-based architecture for a medical vocabulary server. In: Gardner RM. ed. Nineteenth Symposium on Computer Applications in Medical Care Philadelphia: Hanley & Belfus Inc; 1995: 275-9.
  • 57 Orthner HF, Scherrer JR, Dahlen R. Sharing and communicating health care information: summary and recommendations. Int J Biomed Com put 1994; 34: 303-18.
  • 58 Gremy F, Degoulet P. Assessment of information technology: which questions for which systems? Proposal for a taxonomy. Medical Informatics 1993; 18: 185-93.
  • 59 Van Bemmel JH. A model for the assessment of workstation for healthcare support. Int J Biomed Comput 1994; 34: 365-71.