Radical improvements in the display of clinical microbiology results: a Web-based clinical information system

The American Journal of Medicine
K E WillardJ R Johnson

Abstract

To evaluate the performance of a novel computerized system for reporting clinical microbiology results. The new system provides a summarized overview of a patient's current (or past) microbiological status, with the option to selectively explore in greater depth. It is deployed using World Wide Web technology, which supports virtually any kind of computer and allows physicians to obtain results via the internet using personal computers in the office or at home. In an unblinded crossover study at a university-affiliated medical center, participants used both the new system and a conventional display system to retrieve selected microbiology results for two actual patients, according to standardized questionnaires, with balanced allocation of sequence of system use. Participants also subjectively rated the two systems. The participants were 16 physician, pharmacist, and nurse volunteers. Outcome measures included completion time and number of errors (categorized as major and minor) associated with results retrieval, and participants' ratings of the new system. Mean completion time was 45% shorter (13.9 versus 25.5 minutes; P < 0.001), and there were fewer associated major errors (0 versus 13; P = 0.01) and minor errors (10 versus ...Continue Reading

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Citations

Jul 1, 1997·Journal of the American Medical Informatics Association : JAMIA·R B ElsonD P Connelly
Apr 25, 2002·Journal of the American Medical Informatics Association : JAMIA·Qing ZengKelly H Zou
Aug 23, 2001·Journal of Biomedical Informatics·Q Zeng, J J Cimino
Oct 4, 2014·Clinical Microbiology Reviews·Daniel D RhoadsLiron Pantanowitz
Oct 28, 2016·Journal of Medical Systems·Jonathan P WandererSoojin Park
Feb 1, 2003·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Samir BouamEric Lepage
Mar 22, 2018·Journal of the American Medical Informatics Association : JAMIA·Adam WrightGianna Zuccotti
Jul 24, 2002·Clinics in Laboratory Medicine·Donald P Connelly

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