Document 0338
 DOCN  M9460338
 TI    An electronic medical record that helps care for patients with HIV
       infection.
 DT    9404
 AU    Safran C; Rind DM; Davis RM; Currier J; Ives D; Sands DZ; Slack WV;
       Makadon H; Cotton D; Department of Medicine, Beth Israel Hospital,
       Boston, MA.
 SO    Proc Annu Symp Comput Appl Med Care. 1993;:224-8. Unique Identifier :
       AIDSLINE MED/94176814
 AB    We have built a clinical workstation to help doctors and nurses care for
       patients with HIV infection. This knowledge-based medical record system
       provides medication alerts, reminders about primary care, and on-line
       information to support the care of patients with HIV infection. We are
       conducting a controlled clinical trial of this computer system in a
       single practice setting, which consists of 18 staff physicians, 13
       nurses, and 113 residents, who cooperatively practice in four teams. Two
       teams of physicians are assigned to an intervention group and two teams
       to a control group. This paper reports preliminary results from the
       first year of study, January 15, 1992, through January 14, 1993. During
       this period 274 patients with HIV infection were followed by the general
       medical practice--130 in a control group and 144 in an intervention
       group. Physicians in the intervention group more rapidly and more
       completely followed primary care guidelines than did physicians in the
       control group. Patients in the intervention group had 2476 ambulatory or
       emergency visits (17.2 visits per patient) compared with 1882 visits
       (14.5 visits per patient) for the control patients (p < 0.01). There
       were 101 hospitalizations for 51 patients in the intervention group (an
       admission rate of 0.7) compared with 104 admissions for 54 patients in
       the control group (an admission rate of 0.8) (p = NS). There were 8
       deaths in the intervention group (5.6%) compared with 13 (10%) in the
       control group (p = NS).(ABSTRACT TRUNCATED AT 250 WORDS)
 DE    Artificial Intelligence  Boston  Computer Systems  Hospital Information
       Systems  Hospitals, Teaching  Human  HIV Infections/*THERAPY  *Medical
       Records Systems, Computerized  *Therapy, Computer-Assisted  CLINICAL
       TRIAL  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).