title: Scenario-based stress testing of an electronic patient record system in a thin-client computing implementation.
abstract: Implementation of thin-client computing (TCC) generally requires an elaborate process of determining appropriate specifications of the centralized servers (server sizing). This study aimed to assess the usefulness of the server sizing methods with eight scenarios based on practical usage of an electronic patient record. Actual data obtained from a hospital, where TCC was introduced based on the methods of the study, showed that the stress testing of one of server sizing methods contributed to steady operation of the system, while the scenarios should be improved to reflect more practical workflow in real settings to achieve more precise estimation of the centralized server performance in TCC.
authors.affiliation: Division of Medical Informatics, Tottori University Hospital, Yonago, Tottori, Japan. kei-tera@umin.net
authors.forename: Kei
authors.initials: K
authors.lastname: Teramoto
authors.forename: Shigeki
authors.initials: S
authors.lastname: Kuwata
authors.forename: Andre W
authors.initials: AW
authors.lastname: Kushniruk
authors.forename: Elizabeth M
authors.initials: EM
authors.lastname: Borycki
authors.forename: Masaki
authors.initials: M
authors.lastname: Mochida
authors.forename: Katsuhiro
authors.initials: K
authors.lastname: Fujii
authors.forename: Kenta
authors.initials: K
authors.lastname: Kuranaka
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kondoh
mesh_terms: D003195:Computer Communication Networks / Q000592:standards*; D057286:Electronic Health Records / Q000458:organization & administration*; D005069:Evaluation Studies as Topic