 |
|
Applications of Computer-Based Clinical Guidelines
|
|
| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
|
|
|
To the Editor.—The well-executed study by Dr Schriger and colleagues1 provides an elegant demonstration of a "switching effect" associated with computerized prompting systems: switch the computerized decision support on and physician performance improves; switch it off and performance returns to baseline. The related observation that physician behavior actually deteriorated below baseline for test ordering and treatment when the computerized support was switched off suggests that physicians exposed to such support become at least partially dependent on it. Since physicians exposed to such systems may move on to practice in environments without similar system support, this effect may be responsible for a significant unintentional adverse effect on physician performance and should be characterized further.
While these findings represent an important extension of our knowledge base related to computerized prompting systems, the overall finding of a dramatic performance improvement associated with the use of the system should come as no surprise. . . . [Full Text of this Article]
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
RELATED ARTICLE
Implementation of Clinical Guidelines Using a Computer Charting System: Effect on the Initial Care of Health Care Workers Exposed to Body Fluids
David L. Schriger, Larry J. Baraff, William H. Rogers, and Shan Cretin
JAMA. 1997;278(19):1585-1590.
ABSTRACT
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
|
Assessing the Quality of Clinical Data in a Computer-based Record for Calculating the Pneumonia Severity Index
Aronsky and Haug
J. Am. Med. Inform. Assoc. 2000;7:55-65.
ABSTRACT
| FULL TEXT
|
