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Eff Clin Pract. 2001 Jan-Feb;4(1):24-33.

How effective is the computer-based clinical practice guideline?

Author information

  • 1University of Washington, Seattle, Wash., USA. eytan.t@ghc.org

Abstract

CONTEXT:

The primary prevention of coronary artery disease in patients with diabetes could have a large impact on health care costs and outcomes. Guidelines for improving diabetic health indices are common, but significant challenges exist in implementing them.

GENERAL QUESTION:

How does integrating an evidence-based guideline into an electronic medical record affect patient care?

SPECIFIC RESEARCH CHALLENGE:

How can we implement the new guideline-enhanced medical record in a controlled manner and measure its impact on physician satisfaction, diabetes process measures, and the risk for cardiovascular disease?

PROPOSED APPROACH:

All patients in the University of Washington system have an electronic Web-based medical record. Patients with diabetes will be randomly assigned to a guideline-enhanced or standard electronic medical record. The electronic medical record allows measurement of most clinical process measures and outcomes. Physician satisfaction will be measured by survey.

POTENTIAL DIFFICULTIES:

Contamination may occur when guideline recommendations are applied to control patients as physicians gain experience with the guideline-enhanced record.

PMID:
11234183
[PubMed - indexed for MEDLINE]
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