ClinQuery: a system for online searching of data in a teaching hospital.

TitleClinQuery: a system for online searching of data in a teaching hospital.
Publication TypeJournal Article
Year of Publication1989
AuthorsSafran C, Porter D, Lightfoot J, Rury CD, Underhill LH, Bleich HL, SLACK WV
JournalAnn Intern Med
Volume111
Issue9
Pagination751-6
Date Published1989 Nov 01
ISSN0003-4819
KeywordsBoston, Hospital Information Systems, Hospitals, Teaching, Online Systems, User-Computer Interface
Abstract

We designed a user-friendly computer program that permits physicians to search the clinical database of Boston's Beth Israel Hospital by clinical and demographic descriptors. For example, the user can identify all admissions in which diabetic ketoacidosis was diagnosed, the serum bicarbonate level was under 12 mmol/L, and the length of stay exceeded 7 days. Once particular admissions are identified, all data stored in the computerized record can be displayed. Authorized persons can also request the patient's complete medical record for further study. Over a 30-month period, 530 doctors, nurses, medical students, and administrators used the program to search the hospital's clinical database 1786 times. They displayed detailed information on 30,851 patients and requested the complete medical record 5319 times. In 1389 of the 1786 searches completed, the searcher responded to a computer-based questionnaire about motivation for the search. Responses indicated that 32% of the searches were for clinical research, 17% for patient care, 17% for teaching and education, 11% for hospital administration, and 12% for general exploration. In 58% of the searches, respondents indicated definite or probable success in finding the desired information. We conclude that physicians and allied personnel will repeatedly obtain, view, and analyze aggregate clinical information if they are provided with appropriate tools. We believe that such access to clinical information is an important resource for patient care, teaching, and clinical research.

DOI10.7326/0003-4819-111-9-751
Alternate JournalAnn. Intern. Med.
PubMed ID2802433
Grant ListR18 HS 04928 / HS / AHRQ HHS / United States
R23 LM 04260 / LM / NLM NIH HHS / United States
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