Use and impact of a computer-generated patient summary worksheet for primary care

AMIA Annu Symp Proc. 2005:2005:824-8.

Abstract

Advanced clinical information systems have been proposed to improve patient care in terms of safety, effectiveness, and efficiency. In order to be effective, such systems require detailed patient-specific clinical information in a form easily reviewed by clinicians. We have developed a patient summary worksheet for use in outpatient clinics, which presents a structured overview of patient health information. The worksheet provides patient demographic information, specific problems and conditions, the patient's current medication profile, laboratory test results pertinent to patient problems, and disease-specific or preventive care actionable advisories. Usage has grown from a few hundred to over 25,000 unique patients per month during a two-year period. Diabetic patients for whom the worksheet is accessed are significantly more likely to be in compliance with accepted testing regimens for glycosolated hemoglobin (OR 1.47, 95% CI 1.28, 1.61).

Publication types

  • Comparative Study
  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Ambulatory Care Facilities
  • Data Collection
  • Diabetes Mellitus / blood*
  • Diabetes Mellitus / therapy
  • Forms and Records Control
  • Glycated Hemoglobin / analysis*
  • Guideline Adherence*
  • Humans
  • Logistic Models
  • Medical Records Systems, Computerized / statistics & numerical data*
  • Practice Guidelines as Topic
  • Primary Health Care / organization & administration*
  • Retrospective Studies

Substances

  • Glycated Hemoglobin A