GUIDELINES FOR MANAGEMENT OF HIV-INFECTION WITH COMPUTER-BASED PATIENTS RECORD
GUIDELINES FOR MANAGEMENT OF HIV-INFECTION WITH COMPUTER-BASED PATIENTS RECORD
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DOI：
10.1016/s0140-6736(95)92226-1
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发表时间：
1995-08-05
期刊：
影响因子：
168.9
通讯作者：
COTTON, DJ
中科院分区：
文献类型：
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作者：
SAFRAN, C;RIND, DM;COTTON, DJ
计算机正在稳步地应用于临床实践。我们进行了一项非随机、对照、前瞻性的电子信息试验，旨在提高对临床实践指南的依从性。我们研究了126名医生和护士，他们在初级保健实践中照顾349名HIV感染患者时使用电子病历。我们分析了临床医生对触发警报和提醒的情况的反应时间、门诊就诊次数和住院治疗。干预组对303次警报和对照组对388次警报的中位反应时间分别为11天和52天（P
Computers are steadily being incorporated in clinical practice. We conducted a nonrandomised, controlled, prospective trial of electronic messages designed to enhance adherence to clinical practice guidelines. We studied 126 physicians and nurse practitioners who used electronic medical records when caring for 349 patients with HIV infection in a primary care practice. We analysed the response times of clinicians to the situations that triggered alerts and reminders, the number of ambulatory visits, and hospitalisation.The median response times to 303 alerts in the intervention group and 388 alerts in the control group were 11 and 52 days (p