Effects of a supportive protocol processing system (ProtoVIEW) on clinical behaviour of residents in the Accident and Emergency department.
Copyright (c) 1996 Elsevier Science B.V. All rights reserved.
A randomized two period crossover trial was performed at the Accident and Emergency (A & E) department of the University Hospital in Nijmegen (The Netherlands).
We assessed what the impact was of (mandatory) consultation of a protocol for the management of isolated traumas on treatment decisions of residents.
All eight surgical residents who regularly worked in the A & E department participated in the trial.
All patients who entered the A & E department between October 13,1992 and June 9,1993, of age 16 years or older with an isolated fracture without concomitant lesions were admitted to the study.
During the experimental periods, the management protocol was available on computer (using ProtoVIEW) and during the control periods on paper.
Main measurements were treatment adjustments made by residents (after consulting different information sources), and their opinion about ProtoVIEW as an information source assessed by means of a questionnaire.
When protocol consultation was mandatory, residents changed their treatments almost four times more often towards the protocol than during the control periods (P=0.01 Chi-square test).
Most residents found ProtoVIEW easy to use, liked it as a useful training source while half of them said they would use the system in daily clinical practice.
We conclude that mandatory protocol consultation using ProtoVIEW influenced protocol adherence positively.
Mots-clés Pascal : Informatique biomédicale, Système gestion base donnée, Optimisation, Gestion hospitalière, Fichier malade, Evaluation performance, Procédure, Analyse statistique, Essai, Efficacité
Mots-clés Pascal anglais : Biomedical data processing, Database management system, Optimization, Hospital management, Patient file, Performance evaluation, Procedure, Statistical analysis, Test, Efficiency
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0268081
Code Inist : 002B28E. Création : 199608.