Use of a Computer-Aided Diagnosis System Aboard Patrolling FBM Submarines: Initial At-Sea Trials

摘要

This report describes at-sea testing for user acceptance and unanticipated problems in deployment of a computer-based system to aid in medical decision making aboard patrolling nuclear submarines. This testing is preparatory to fleet-wide clinical trials of this system. The use of simulated patients provided for realistic use of the medical computer system during at-sea trials. The system had a positive effect on the Corpsman's professional role and on his interactions with his Commanding (CO) and Executive (XO) Officers. Corpsmen, CO's, and XO's all found the system acceptable and useful in making medical-evacuation (MEDEVAC) and other patient-care decisions. Other findings, and recommendations, are presented. This study justifies proceeding with a major clinical trial of a computer-based medical decision system throughout the nuclear submarine fleet. THis system, if successful in its further testing, will help preserve the strength of the submarine force by decreasing unnecessary MEDEVACs and improving patient care.