PMID: 9524352Apr 3, 1998Paper

Simulating an integrated critiquing system

Journal of the American Medical Informatics Association : JAMIA
M M KuilboerJ H van Bemmel

Abstract

To investigate factors that determine the feasibility and effectiveness of a critiquing system for asthma/COPD that will be integrated with a general practitioner's (GP's) information system. A simulation study. Four reviewers, playing the role of the computer, generated critiquing comments and requests for additional information on six electronic medical records of patients with asthma/COPD. Three GPs who treated the patients, playing users, assessed the comments and provided missing information when requested. The GPs were asked why requested missing information was unavailable. The reviewers reevaluated their comments after receiving requested missing information. Descriptions of the number and nature of critiquing comments and requests for missing information. Assessment by the GPs of the critiquing comments in terms of agreement with each comment and judgment of its relevance, both on a five-point scale. Analysis of causes for the (un-)availability of requested missing information. Assessment of the impact of missing information on the generation of critiquing comments. Four reviewers provided 74 critiquing comments on 87 visits in six medical records. Most were about prescriptions (n = 28) and the GPs' workplans (n = 27)....Continue Reading

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Citations

Apr 20, 2006·Journal of the American Medical Informatics Association : JAMIA·David L Sanders, Dominik Aronsky
Jun 17, 2003·Journal of the American Medical Informatics Association : JAMIA·Manon M KuilboerJohan van der Lei

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