Computerized databases for emergency care: what impact on patient care?
A field-based evaluation is conducted of a Clinical Computerized Information System (CCIS). Following training, the use of the CCIS database, word processing and other programs by thirteen full-time practicing emergency physicians in two urban emergency departments of a University-associated teaching hospital was studied over a one-year period. A tracking program automatically logged frequency and duration of use by the physicians, and user satisfaction was assessed by a reliable and validated questionnaire instrument. Based on utilization data and verbal reports of these physicians, CCIS database searching was not only found to be easy-to-learn but was readily accessible during emergency shifts. Individual physicians were found to perform an average of 3.5 searches per month lasting a mean search time of 8 min. Positive notes about the CCIS system included ease-of-use, accuracy of data, accessibility of system, and value of output while negative perceptions included a lack of integration with other systems, a lack of system completeness, and a high subscription cost. It was suggested that a less costly telephone link to a high-volume Centre would be desirable in actual implementation of the system.
Pugh
G E
GE
Department of Emergency Medicine, Mount St. Joseph Hospital, Vancouver, BC, Canada.
Tan
J K
JK
D001291:Attitude of Health Personnel; D001292:Attitude to Computers; D001955:British Columbia; D016251:CD-ROM; D003197:Computer Literacy; D003199:Computer Systems; D004636:Emergency Service, Hospital; D006751:Hospital Information Systems; D006801:Humans; D007256:Information Systems; D008491:Medical Informatics Applications; D009862:Online Systems; D011785:Quality Assurance, Health Care