CLEMENT J. McDONALD, MD.
A computer was used to prospectively detect and suggest responses to simple, medication-related events as reflected in a computerized record in a prospective, randomized study of a diabetes clinic with primary-care responsibility. There were two categories of event/suggestions: when the last observation of a test required for medication control was too old, the computer suggested a repeat; and when an abnormality with therapeutic implications was detected, the computer suggested a specific change in therapeutics. Clinicians responded to 36% of events in the first category with computer reminders and 11% without (P < 0.0001); they responded to 28% of events in the second category with computer assistance and 13% without (P < 0.026). For the most clinically significant of these second category events, the difference was even greater: 47% with and 4% without computer assistance (P < 0.0004). I believe that computer detection and response (in the form of reminders) to simple clinical events will change clinician behavior.
McDONALD CJ. Use of a Computer to Detect and Respond to Clinical Events: Its Effect on Clinician Behavior. Ann Intern Med. ;84:162–167. doi: 10.7326/0003-4819-84-2-162
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Published: Ann Intern Med. 1976;84(2):162-167.
Cardiology, Coronary Risk Factors, Diabetes, Endocrine and Metabolism.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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