Memorial uses the PICIS c/s product in our OR.  We have grown the 
application extensively and have experienced response issues even though 
all of the tell tale measures seem to be very acceptable, i.e., network 
traffic, workstation utilization, even data base server utilization. 
Workstations are all w/2000 and up, Pentium 4 or greater, with reasonable 
memory.  Are there PICIS users on the 'L' that have experienced and 
overcome a performance issue similar to this?  It seems that the response 
degrades as the day progresses, should we be performing data base 
housekeeping more often than nightly perhaps?

David Dawdy
Director of Information Systems
Memorial Hospital
Belleville, IL
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