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Advanced clinical technology--clinical tool or expensive toy?

There should no longer be any doubt in dentists' minds when it comes to the importance of technology in the day-to-day activities of the dental office. But there is, and this doubt must be addressed if the profession is to grow and prosper to its full potential. Denying the importance of technology--or putting on blinders--only leads to complacency, and clearly does not support our professions goal of providing the finest dental care possible. This article addresses the use of technology in a clinically-related manner, and attempts to provide the practitioner with valuable practice management tools to allow for a prosperous and efficient dental practice.

Correspondence as Topic↗

Bibliographic databases: help in preparing reference lists.

Typing bibliography references is time consuming. It is also frustrating to have to retype references when you submit a manuscript to journals using different reference styles. Now you don't need to retype them. Computer programs have been developed which help you reorganize your references to many different styles. This experienced nurse author compares several of these programs for you.

Bibliographies as Topic↗

Cued recall hypermnesia is not an artifact of response bias.

In two experiments, we examined whether hypermnesia occurs in cued recall when response bias is controlled by instructing subjects to generate more responses than they normally produce under standard cued recall instructions. Subjects processed 36 pairs of words using a relational processing, item-specific processing, or intentional learning strategy. A well-categorized list was presented in Experiment 1, whereas a loosely categorized list was used in Experiment 2. Three standard or forced cued recall tests were then administered. Hypermnesia was observed even when subjects were forced to guess. Furthermore, as in previous studies, relational processing resulted in greater net improvement than item-specific processing or intentional learning. We conclude that cued recall hypermnesia is a genuine phenomenon.

Amnesia↗

The effects of computer-tailored smoking cessation messages in family practice settings.

BACKGROUND: Many conventional health education materials, such as pamphlets and booklets, are designed to reach as wide an audience as possible; they are therefore often lengthy and contain information irrelevant to many consumers. Computer technologies allow sophisticated tailoring of messages targeted to individual patients and free of irrelevant information. METHODS: In two studies in North Carolina (study 1, N = 51; study 2, N = 197), adult cigarette smokers were identified from a cohort of family practice patients. Cigarette consumption, interest in quitting smoking, perceived benefits and barriers to quitting, and other characteristics relevant to smoking cessation were collected. Based on this information, smoking cessation letters were tailored by computer to individuals. Smokers were randomly assigned to experimental (tailored health letters) or comparison groups (generic health letter in study 1, no health letter in study 2). Smoking status was assessed again at 4 months (study 1) or 6 months (study 2). RESULTS: Both studies found statistically significant positive effects of tailored health letters among moderate to light smokers. In study 1, 30.7% reported quitting after 6 months vs 7.1% in the control group (P < .05); in study 2, 19.1% vs 7.3% (P < .05). CONCLUSIONS: Results from both studies indicate positive effects of computer-tailored smoking messages among moderate to light smokers. These findings are consistent with the focus of our computer-tailored program on psychological and behavioral factors related to smoking cessation. Smoking cessation outcomes may be enhanced by combining tailored messages with nicotine replacement therapies to treat physical dependency. Methods of tailoring health messages and incorporating the results into family practice are described.

Adult↗

Evaluating the accuracy of transcribed clinical data.

This study evaluated the accuracy of data transcribed into a computer-stored record from a handwritten listing of pediatric immunizations. The immunization records of 459 children seen in the UCLA Children's Health Center in March, 1993 were transcribed into a clinical computer system on an ongoing basis. Of these records, 27 (5.9%) were subsequently found to be inaccurate. Reasons for inaccuracy in the transcribed records included incomplete written records, incomplete transcription of written records, and unavailability of immunization records from multiple health-care providers. The utility of a computer-stored clinical record may be adversely affected by unavoidable inaccuracies in transcribed clinical data.

Child↗

A computer-based tool for generation of progress notes.

IVORY, a computer-based tool that uses clinical findings as the basic unit for composing progress notes, generates progress notes more efficiently than does a character-based word processor. IVORY's clinical findings are contained within a structured vocabulary that we developed to support generation of both prose progress notes and SNOMED III codes. Observational studies of physician participation in the development of IVORY's structured vocabulary have helped us to identify areas where changes are required before IVORY will be acceptable for routine clinical use.

Humans↗

Health service development for physician/medical records: a 1980s model, a 1990s application and refinement.

A new service to dictate hospital discharge summaries for attending physicians was developed using the Bushman-Cooper health care service development procedural model. The development of this service by the application of this model provided evidence of the model's general usefulness and specific areas where the model could be refined. Recommendations are made to improve the model's practical applicability.

Attitude of Health Personnel↗

Buying a computer.

Explore the source record for details and available documents.

Computers↗

Integration of nursing informatics in a registered nurse graduate program.

Experienced registered nurses (RNs) are adult learners seeking a program of study in many academic settings to prepare for the advanced practice nursing role. They want a visionary curriculum that builds on their previous experience and develops their creativity in meeting educational goals and objectives [1]. At the Northeastern University College of Nursing in Boston such a program exists. Building on their first foundation course, Professional Development Seminar, RN students are exposed to the Benner Model, From Novice to Expert [2].

Adult↗