"What's his infection sensitive to?" In 1995, getting the answerto this question required a house officer to find an unoccupiedcomputer at the nursing station, sign on, and traverse the necessaryscreens to get the culture result. Armed with the answer —say, "levofloxacin" — she would ask the follow-up question:"What's the renal dosing?" The next step would typically entaila search for a tattered copy of a drug reference manual.
In 2000, the house officer still needed to turn to the computerfor the first answer, but for the second, she might have skippedthe scavenger hunt . . . [Full Text of this Article]
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Dr. Cimino is a professor of medicine and biomedical informatics at the Columbia College of Physicians and Surgeons, and Dr. Bakken is a professor of biomedical informatics at the Columbia College of Physicians and Surgeons and a professor of nursing at the Columbia University School of Nursing, New York.
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