Literature DB >> 8563351

The impact of a guideline-driven computer charting system on the emergency care of patients with acute low back pain.

F Day1, L P Hoang, S Ouk, S Nagda, D L Schriger.   

Abstract

Federal guidelines for the treatment of acute low back pain were locally modified and made more specific. These guidelines were then programmed into a rule-based computer charting system which provides real-time advice regarding documentation, testing, treatment, and disposition of emergency department patients with this condition. In a time-series off-on experiment the system was shown to significantly improve documentation of the medical record and discharge instructions. There was little effect on the appropriateness of testing and treatment and the cost of care. These findings contrast with our previous experiment using a similar program for the care of health care workers exposed to body fluids. In that study both the appropriateness of care and the cost-effectiveness of care were substantially improved.

Entities:  

Mesh:

Year:  1995        PMID: 8563351      PMCID: PMC2579159     

Source DB:  PubMed          Journal:  Proc Annu Symp Comput Appl Med Care        ISSN: 0195-4210


  4 in total

1.  Opinion leaders vs audit and feedback to implement practice guidelines. Delivery after previous cesarean section.

Authors:  J Lomas; M Enkin; G M Anderson; W J Hannah; E Vayda; J Singer
Journal:  JAMA       Date:  1991-05-01       Impact factor: 56.272

2.  Principles of educational outreach ('academic detailing') to improve clinical decision making.

Authors:  S B Soumerai; J Avorn
Journal:  JAMA       Date:  1990-01-26       Impact factor: 56.272

3.  Physician response to computer reminders.

Authors:  C J McDonald; G A Wilson; G P McCabe
Journal:  JAMA       Date:  1980-10-03       Impact factor: 56.272

4.  The effect of immediate access to a computerized medical record on physician test ordering: a controlled clinical trial in the emergency room.

Authors:  G A Wilson; C J McDonald; G P McCabe
Journal:  Am J Public Health       Date:  1982-07       Impact factor: 9.308

  4 in total
  13 in total

1.  A framework for effective management of change in clinical practice: dissemination and implementation of clinical practice guidelines.

Authors:  N T Moulding; C A Silagy; D P Weller
Journal:  Qual Health Care       Date:  1999-09

Review 2.  Computer-based guideline implementation systems: a systematic review of functionality and effectiveness.

Authors:  R N Shiffman; Y Liaw; C A Brandt; G J Corb
Journal:  J Am Med Inform Assoc       Date:  1999 Mar-Apr       Impact factor: 4.497

3.  Do practice guidelines augment drug utilisation review?

Authors:  E A Chrischilles; K Gondek
Journal:  Pharmacoeconomics       Date:  1997-12       Impact factor: 4.981

Review 4.  Natural language generation in health care.

Authors:  A J Cawsey; B L Webber; R B Jones
Journal:  J Am Med Inform Assoc       Date:  1997 Nov-Dec       Impact factor: 4.497

5.  Implementation of clinical guidelines via a computer charting system: effect on the care of febrile children less than three years of age.

Authors:  D L Schriger; L J Baraff; K Buller; M A Shendrikar; S Nagda; E J Lin; V J Mikulich; S Cretin
Journal:  J Am Med Inform Assoc       Date:  2000 Mar-Apr       Impact factor: 4.497

6.  Automating complex guidelines for chronic disease: lessons learned.

Authors:  Saverio M Maviglia; Rita D Zielstorff; Marilyn Paterno; Jonathan M Teich; David W Bates; Gilad J Kuperman
Journal:  J Am Med Inform Assoc       Date:  2003 Mar-Apr       Impact factor: 4.497

7.  A Computerized Alert Screening for Severe Sepsis in Emergency Department Patients Increases Lactate Testing but does not Improve Inpatient Mortality.

Authors:  T Berger; A Birnbaum; P Bijur; G Kuperman; P Gennis
Journal:  Appl Clin Inform       Date:  2010-11-17       Impact factor: 2.342

Review 8.  The use of computerized clinical decision support systems in emergency care: a substantive review of the literature.

Authors:  Paula Bennett; Nicholas R Hardiker
Journal:  J Am Med Inform Assoc       Date:  2017-05-01       Impact factor: 4.497

9.  Effectiveness of electronic guideline-based implementation systems in ambulatory care settings - a systematic review.

Authors:  Annemie Heselmans; Stijn Van de Velde; Peter Donceel; Bert Aertgeerts; Dirk Ramaekers
Journal:  Implement Sci       Date:  2009-12-30       Impact factor: 7.327

10.  A prospective study to compare serial changes in pain scores for patients with and without a history of frequent ED utilization.

Authors:  Ryan Joseph; Alainya Tomanec; Thomas McLaughlin; Jose Guardiola; Peter Richman
Journal:  Heliyon       Date:  2021-06-06
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