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24 results on '"Smith, Gordon L."'

4. Harry S. Truman: America's last great leader?

Author

Roschwalb, Susanne A. and Smith, Gordon L.

Subjects
Truman, Harry S -- Evaluation -- Biography, Presidential libraries -- Collections and collecting, Presidents -- Evaluation -- Biography, Libraries, General interest, News, opinion and commentary, Collections and collecting, Evaluation
Abstract

ON APRIL 12, 1945, Harry S. Truman became the 33rd president of the United States. The key drama in the choice of Truman as Pres. Franklin D. Roosevelt's vice-president took [...]

Published
1995

10. Clinical Performance of a Rule-Based Decision Support System for Mechanical Ventilation of ARDS Patients

Author

Thomsen, George E., Pope, Donna, East, Thomas D., Morris, Alan H., Kinder, A. Tupper, Carlson, Debra A., Smith, Gordon L., Wallace, C. Jane, Orme, James F., Clemmer, Terry P., Weaver, Lindell K., Thomas, Frank, and Dean, Nathan C.

Subjects
Respiratory Distress Syndrome, Clinical Protocols, Therapy, Computer-Assisted, Decision Support in the Intensive Care Unit, Humans, Respiration, Artificial, Decision Support Techniques
Abstract

We developed a clinical decision support system--ventilation protocols--that managed tidal volume and ventilator rate settings during mechanical ventilation of patients with the Adult Respiratory Distress Syndrome (ARDS). We applied these protocols for a total of 10,903 hours in 40 ARDS patients. The clinical staff suspended the protocols for only 5% of the total application time due to medical procedures, surgeries, transient clinical problems not addressed by the protocols, or because of attending physician request. Of 3,148 instructions generated by the ventilation protocols, the clinical staff followed 2,932 (93%). The staff did not follow some instructions because of patient data errors, computer software and protocol logic errors, inability of the clinical staff to implement protocol instructions because of more pressing duties, and clinical staff objections to specific instructions. Sixty percent of the patients treated by the ventilation protocols survived. Our results demonstrate that the ventilation protocols provided a practical and safe decision support system for the mechanical ventilation of ARDS patients.

Published
1993

19. Planning for the Acquisition Cycle within the Naval Electronic Systems Command.

Author

DEFENSE SYSTEMS MANAGEMENT COLL FORT BELVOIR VA, Smith,Gordon L, DEFENSE SYSTEMS MANAGEMENT COLL FORT BELVOIR VA, and Smith,Gordon L

Abstract

The report starts with a description of the requirements for obtaining Approval for Service Use and the planning necessary throughout the acquisition cycle to insure that the system will meet the requirements. Three of the essential documents to planning the acquisition process are then discussed in the following format: the use or purpose of each document, basic references to be used as guidance in the development of these documents, points of contact for coordination and assistance, and finally guidance in the actual preparation of the documents. The report concludes with a recommendation that the work of this report be expanded upon in order to create an acquisition manual that would cover the acquisition process within the Naval Electronic Systems Command. Specific areas are described for additional work. (Author)

Published
1977

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