Use and impact of a computer-generated patient summary worksheet for primary care.
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).
Wilcox
Adam B
AB
Intermountain Health Care, Salt Lake City, UT, USA.
Jones
Spencer S
SS
Dorr
David A
DA
Cannon
Wayne
W
Burns
Laurie
L
Radican
Kelli
K
Christensen
Kent
K
Brunker
Cherie
C
Larsen
Ann
A
Narus
Scott P
SP
Thornton
Sidney N
SN
Clayton
Paul D
PD
D000554:Ambulatory Care Facilities; D003625:Data Collection; D003920:Diabetes Mellitus / Q000097:blood* / Q000628:therapy; D005568:Forms and Records Control; D006442:Glycated Hemoglobin / Q000032:analysis*; D019983:Guideline Adherence; D006801:Humans; D016015:Logistic Models; D016347:Medical Records Systems, Computerized / Q000706:statistics & numerical data*; D017410:Practice Guidelines as Topic; D011320:Primary Health Care / Q000458:organization & administration*; D012189:Retrospective Studies
D006442:Glycated Hemoglobin