Impact of a protocol processing system (ProtoVIEW) on clinical behaviour of residents and treatment.
A protocol processing system (ProtoVIEW), containing therapeutic trauma protocols, was used in the Accident and Emergency (A and E) department for a period of 7 months to investigate the impact of automated protocols on firstly, medical decision making of physicians and secondly, on quality of treatments eventually received by the patients. A randomized controlled trial showed that mandatory use of the system led to a more uniform working strategy while fracture treatment only seemed to improve in a subgroup of patient for whom residents established a correct diagnosis.
Vissers
M C
MC
Department of Medical Informatics, University of Limburg, Maastricht, The Netherlands.
Hasman
A
A
van der Linden
C J
CJ
D000293:Adolescent; D000328:Adult; D000465:Algorithms; D016009:Chi-Square Distribution; D002985:Clinical Protocols; D003196:Computer Graphics; D003658:Decision Making, Computer-Assisted; D003660:Decision Support Systems, Management; D004636:Emergency Service, Hospital / Q000458:organization & administration*; D005500:Follow-Up Studies; D050723:Fractures, Bone / Q000175:diagnosis / Q000628:therapy; D006751:Hospital Information Systems; D006801:Humans; D007396:Internship and Residency; D009426:Netherlands; D017063:Outcome Assessment, Health Care; D011787:Quality of Health Care; D014584:User-Computer Interface