Computerized medical records and clinic function

James R Campbell, N. Givner, C. B. Seelig, A. L. Greer, K. Patil, Robert Swift Wigton, Thomas Gerald Tape

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Formal studies of computerized information systems for ambulatory patients are rare. As part of an evaluation of the effects of such a system on clinic function, we divided the residents in our teaching clinic into a study group with access to COSTAR and a control group with access to conventional medical records alone. Nurses and clerical personnel in the clinic were allowed to use the computerized records only for patients of residents in the study group. We sampled the attitudes of nurses and clerical personnel toward use of the computer and performed detailed time studies of patient flow in the clinic. Responses to questionnaires reflected acceptance of computerization by the personnel sampled, who favored COSTAR records over conventional records, primarily because of the increased availability of information for telephone management and demand care. The residents never became facile users of COSTAR - a problem that we attribute to the infrequency of their clinic session. As a result, and because the workloads of residents using COSTAR were larger, waiting times were longer in clinics attended by these residents. Overall, the most intensive users of the computerized medical records were not the physicians. Improved productivity and better use of time among the nurses and clerical personnel were thought to outweigh the residents' perceptions.

Original languageEnglish (US)
Pages (from-to)282-287
Number of pages6
JournalM.D. Computing
Volume6
Issue number5
StatePublished - Jan 1 1989

Fingerprint

Computerized Medical Records Systems
Nurses
Information Management
Time and Motion Studies
Workload
Telephone
Information Systems
Medical Records
Teaching
Physicians
Efficiency
Control Groups

ASJC Scopus subject areas

  • Medicine (miscellaneous)

Cite this

Campbell, J. R., Givner, N., Seelig, C. B., Greer, A. L., Patil, K., Wigton, R. S., & Tape, T. G. (1989). Computerized medical records and clinic function. M.D. Computing, 6(5), 282-287.

Computerized medical records and clinic function. / Campbell, James R; Givner, N.; Seelig, C. B.; Greer, A. L.; Patil, K.; Wigton, Robert Swift; Tape, Thomas Gerald.

In: M.D. Computing, Vol. 6, No. 5, 01.01.1989, p. 282-287.

Research output: Contribution to journalArticle

Campbell, JR, Givner, N, Seelig, CB, Greer, AL, Patil, K, Wigton, RS & Tape, TG 1989, 'Computerized medical records and clinic function', M.D. Computing, vol. 6, no. 5, pp. 282-287.
Campbell JR, Givner N, Seelig CB, Greer AL, Patil K, Wigton RS et al. Computerized medical records and clinic function. M.D. Computing. 1989 Jan 1;6(5):282-287.
Campbell, James R ; Givner, N. ; Seelig, C. B. ; Greer, A. L. ; Patil, K. ; Wigton, Robert Swift ; Tape, Thomas Gerald. / Computerized medical records and clinic function. In: M.D. Computing. 1989 ; Vol. 6, No. 5. pp. 282-287.
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