Alternatives in the handling, processing and storage of electrocardiograms.

Physicians and administrators are becoming aware that computer technology can play a significant role in the electrocardiology department. Problems related to the large number of requests for electrocardiograms, the production and communication of electrocardiographic tracings and reports, the access to stored tracings and the overall cost of providing effective services have led administrators to look for assistance through automation. Before expensive equipment and new procedures are introduced, a survey of the electrocardiology department's functions and procedures can lead to important insights. Automation can be achieved in stages, and problems can be solved by separate steps. Options range from basic word-processing support to completely automated electrocardiographic interpretation and computerized storage of records. Choosing the appropriate equipment and programs requires knowledge of the present system, awareness of the options and analysis of the costs and savings.