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. 2012 Sep;18(3):164-70.
doi: 10.4258/hir.2012.18.3.164. Epub 2012 Sep 30.

Clinical care improvement with use of health information technology focusing on evidence based medicine

Peyman Rezaei Hachesu  1 , Maryam Ahmadi, Aziz Rezapoor, Zahra Salahzadeh, Sadughi Farahnaz, Nader Maroufi
Affiliations

Clinical care improvement with use of health information technology focusing on evidence based medicine

Peyman Rezaei Hachesu et al. Healthc Inform Res. 2012 Sep.

Erratum in

  • Healthc Inform Res. 2012 Dec;18(4):290. Peyman, Rezaei Hachesu [corrected to Hachesu, Peyman Rezaei]; Aziz, Rezapoor [corrected to Rezapoor, Aziz]; Zahra, Salahzadeh [corrected to Salahzadeh, Zahra]; Farahnaz, Sadughi [corrected to Sadughi, Farahnaz]; Nader, Maroufi [corrected to Maroufi, Nader]

Abstract

Objectives: Healthcare institutions need timely patient information from various sources at the point-of-care. Evidence-based medicine (EBM) is a tool for proper and efficient incorporation of the results of research in decision-making. Characteristics of medical treatment processes and practical experience concerning the effect of EBM in the clinical process are surveyed.

Methods: A cross sectional survey conducted in Tehran hospitals in February-March 2012 among 51 clinical residents. The respondents were asked to apply EBM in clinical decision-making to answer questions about the effect of EBM in the clinical process. A valid and reliable questionnaire was used in this study.

Results: EBM provides a framework for problem solving and improvement of processes. Most residents (76%) agreed that EBM could improve clinical decision making. Eighty one percent of the respondents believed that EBM resulted in quick updating of knowledge. They believed that EBM was more useful for diagnosis than for treatment. There was a significant association between out-patients and in-patients in using electronic EBM resources.

Conclusions: Research findings were useful in clinical practice and decision making. The computerized guidelines are important tools for improving clinical process quality. When learning how to use IT, methods of search and evaluation of evidence for diagnosis, treatment and medical education are necessary. Purposeful use of IT in clinical processes reduces workload and improves decision-making.

Keywords: Decision Making; Evidence-Based Medicine; Guideline; Health Information Technology; Therapeutic Process.

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

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