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OBJECTIVE To evaluate the effect of an automatic alerting system on the time until treatment is ordered for patients with critical laboratory results. DESIGN Prospective randomized controlled trial. INTERVENTION A computer system to detect critical conditions and automatically notify the responsible physician via the hospital's paging system. PATIENTS(More)
BACKGROUND Vancomycin-resistant enterococci represent an increasingly important cause of nosocomial infections. Minimizing vancomycin use represents a key strategy in preventing the spread of these infections. OBJECTIVE To determine whether a structured ordering intervention using computerized physician order entry that requires use of a guideline could(More)
OBJECTIVE The purpose of the study is to determine how frequently critical laboratory results (CLRs) occur and how rapidly they are acted upon. A CLR was defined as a result that met either the critical reporting criteria used by the laboratory at Brigham and Women's Hospital or other, more complex criteria. DESIGN This is a retrospective cohort study in(More)
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