McDonald C J, Wilson G A, McCabe G P
JAMA. 1980 Oct 3;244(14):1579-81.
A computerized medical record system was designed to detect and remind the responsible clinician about clinical events that might need corrective action. These reminders significantly increased the clinician response rate (in terms of test orders and treatment changes) to the events in question. The addition of relevant medical literature citations to the reminders did not significantly change the clinician response rate as compared with that with reminders alone, nor did it stimulate the physicians to read any of the cited articles kept in an immediately available "library" of reprints.
设计了一个计算机化病历系统,用于检测可能需要采取纠正措施的临床事件,并提醒负责的临床医生。这些提醒显著提高了临床医生对相关事件的响应率(在开出检查单和改变治疗方面)。与仅使用提醒相比,在提醒中添加相关医学文献引用并没有显著改变临床医生的响应率,也没有促使医生阅读保存在随时可用的重印本“图书馆”中的任何一篇引用文章。