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ClinQuery: A System for Online Searching of Data in a Teaching Hospital

Charles Safran, MD; Douglas Porter, EdD; John Lightfoot, AB; Charles D. Rury, BA; Lisa H. Underhill, MS; Howard L. Bleich, MD; and Warner V. Slack, MD
[+] Article, Author, and Disclosure Information

Grant Support: Supported in part by grant R18 HS 04928 from the National Center for Health Services Research and grant R23 LM 04260 from the National Library of Medicine.

Requests for Reprints: Charles Safran, MD, Center for Clinical Computing, 350 Longwood Avenue, Level 1, Boston, MA 0211S.

Current Author Addresses: Drs. Safran, Porter, Bleich, and Slack and Mr. Lightfoot and Mr. Rury: Center for Clinical Computing, 350 Longwood Avenue, Boston, MA 02115.

Ms. Underbill: Seminars in Medicine, Beth Israel Hospital, 330 Brookline Avenue, Boston, MA 02215.

© 1989 American College of PhysiciansAmerican College of Physicians

Ann Intern Med. 1989;111(9):751-756. doi:10.7326/0003-4819-111-9-751
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We designed a user-friendly computer program that permits physicians to search the clinical database of Boston's Beth Israel Hospital by clinical and demographic descriptors. For example, the user can identify all admissions in which diabetic ketoacidosis was diagnosed, the serum bicarbonate level was under 12 mmol/L, and the length of stay exceeded 7 days. Once particular admissions are identified, all data stored in the computerized record can be displayed. Authorized persons can also request the patient's complete medical record for further study. Over a 30-month period, 530 doctors, nurses, medical students, and administrators used the program to search the hospital's clinical database 1786 times. They displayed detailed information on 30 851 patients and requested the complete medical record 5319 times. In 1389 of the 1786 searches completed, the searcher responded to a computer-based questionnaire about motivation for the search. Responses indicated that 32% of the searches were for clinical research, 17% for patient care, 17% for teaching and education, 11% for hospital administration, and 12% for general exploration. In 58% of the searches, respondents indicated definite or probable success in finding the desired information. We conclude that physicians and allied personnel will repeatedly obtain, view, and analyze aggregate clinical information if they are provided with appropriate tools. We believe that such access to clinical information is an important resource for patient care, teaching, and clinical research.





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