title: Use and impact of a computer-generated patient summary worksheet for primary care.
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).
authors.affiliation: Intermountain Health Care, Salt Lake City, UT, USA.
authors.forename: Adam B
authors.initials: AB
authors.lastname: Wilcox
authors.forename: Spencer S
authors.initials: SS
authors.lastname: Jones
authors.forename: David A
authors.initials: DA
authors.lastname: Dorr
authors.forename: Wayne
authors.initials: W
authors.lastname: Cannon
authors.forename: Laurie
authors.initials: L
authors.lastname: Burns
authors.forename: Kelli
authors.initials: K
authors.lastname: Radican
authors.forename: Kent
authors.initials: K
authors.lastname: Christensen
authors.forename: Cherie
authors.initials: C
authors.lastname: Brunker
authors.forename: Ann
authors.initials: A
authors.lastname: Larsen
authors.forename: Scott P
authors.initials: SP
authors.lastname: Narus
authors.forename: Sidney N
authors.initials: SN
authors.lastname: Thornton
authors.forename: Paul D
authors.initials: PD
authors.lastname: Clayton
mesh_terms: 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
chemical_list: D006442:Glycated Hemoglobin