Trends in the NICU: a review of 25 years' experience.

A review of 25,448 admissions was performed to evaluate the progress of neonatal intensive care at Weill Cornell Medical Center since 1978. Patients were identified by a review of admission and discharge data compiled by admitting staff. The following data were collected: birth weight, gestational age, place of birth (inborn versus outborn), discharge date, disposition.

Impact of a computerized alert during physician order entry on medication dosing in patients with renal impairment.

Computerized assistance to clinicians during physician order entry can provide protection against medical errors. However, computer systems that provide too much assistance may adversely affect training of medical students and residents. Trainees may rely on the computer to automatically perform complex calculations and create appropriate orders and are thereby deprived of an important educational exercise.

Doctor Rush's eye water and the opening of the American west.

It has now been almost 200 years since Meriwether Lewis and William Clark set out from St. Louis on their successful western exploration in search of a practical overland and water route to the Pacific Ocean. Prior to their departure, Lewis traveled to Philadelphia to seek advice from the famous Dr.

Design of a clinical alert system to facilitate development, testing, maintenance, and user-specific notification.

Creation and maintenance of electronic clinical alerts within a hospital's electronic medical record (EMR) or database poses a number of challenges. Development can require significant programming effort. Final testing should ideally be performed in a real clinical environment without clinician notification, which may create technical challenges.