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	Institution: CLOCKSS  | My Account | E-mail Alerts | Access Rights | Sign In Vol. 4 No. 8, August 1995   Archives  •  Online Features Practice Management  This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal Computerized Patient Records in Primary Care Their Role in Mediating Guideline-Driven Physician Behavior Change Robert B. Elson, MD; Donald P. Connelly, MD, PhD Arch Fam Med. 1995;4(8):698-705. Abstract I develop and disseminate them, to establish their credibility, and to create incentives for physicians to adopt them. These strategies have failed to systematically change physician behavior because they do not address the involuntary time and mental processing constraints that have been clearly demonstrated to hamper physicians' ability to comply with guidelines. Computerized patient record systems directly address these constraints, and evidence is mounting that they are effective tools for changing physician behavior. A properly configured computerized patient record system provides decision support, facilitates work flow, and enables the routine collection of data for performance feedback. A synthesis of relevant research from the domains of practice guidelines and medical informatics strongly suggests that the operational support provided by computerized patient record systems will have a major impact on physician compliance with practice guidelines. Author Affiliations From the Department of Family Practice and Community Health (Dr Elson) and the Division of Health Computer Sciences, Department of Laboratory Medicine and Pathology (Drs Elson and Connelly), University of Minnesota, Minneapolis. THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES The impact of prescribing safety alerts for elderly persons in an electronic medical record: an interrupted time series evaluation. Smith et al. Arch Intern Med 2006;166:1098-1104. ABSTRACT | FULL TEXT   Implementing an Electronic Medical Record in a Family Medicine Practice: Communication, Decision Making, and Conflict Crosson et al. Ann Fam Med 2005;3:307-311. ABSTRACT | FULL TEXT   A Computerized Clinical Decision Support System as a Means of Implementing Depression Guidelines Trivedi et al. Psychiatr. Serv. 2004;55:879-885. ABSTRACT | FULL TEXT   Information Resources Used in Antimicrobial Prescribing Sellman et al. J. Am. Med. Inform. Assoc. 2004;11:281-284. 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ABSTRACT | FULL TEXT   Applications of Computer-Based Clinical Guidelines Elson et al. JAMA 1998;279:989-990. FULL TEXT   An Industrial Process View of Information Delivery to Support Clinical Decision Making: Implications for Systems Design and Process Measures Elson et al. J. Am. Med. Inform. Assoc. 1997;4:266-278. ABSTRACT | FULL TEXT   Whose Guideline Is It, Anyway? Saver Arch Fam Med 1996;5:532-534. ABSTRACT   Are Reminder Systems a Form of CME? Elson and Connelly JAMA 1995;274:1836-1837. ABSTRACT   HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | PHYSICIAN JOBS | HELP CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP   © 1995 American Medical Association. All Rights Reserved.