Clictate: a computer-based documentation tool for guideline-based care.
The use of computer-based documentation tools confers many benefits to the delivery of evidence-based health care. We developed Clictate, a structured reporting environment that utilized standard Windows-based data entry constructs and natural language generation. Clictate has been in use for over 3 years by pediatric providers in an ambulatory setting. More than 50% of our providers use Clictate during the patient encounter. This report describes our results to date, and suggests future opportunities for research and development in the area of computer-based documentation.
Johnson
Kevin B
KB
The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Cowan
John
J
D002648:Child; D003626:Data Display; D020000:Decision Support Systems, Clinical; D004282:Documentation / Q000379:methods; D019317:Evidence-Based Medicine; D005568:Forms and Records Control; D006801:Humans; D016347:Medical Records Systems, Computerized; D010347:Patient Care Planning; D010372:Pediatrics / Q000592:standards; D014584:User-Computer Interface