[An experimental evaluation of a hospital's internal clinical guideline system. Randomized, controlled crossover pilot study on the efficacy of Intranet-based guidelines for General Internal Medicine at the Park Clinic Weissenssee in Berlin]].
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[An experimental evaluation of a hospital's internal clinical guideline system. Randomized, controlled crossover pilot study on the efficacy of Intranet-based guidelines for General Internal Medicine at the Park Clinic Weissenssee in Berlin]]. / Braune, Stephan; Wegscheider, K; Zielinski, Wiebke; Müller-Lissner, S.
in: Z Arztl Fortbild Qualitatssich, Jahrgang 97, Nr. 4-5, 4-5, 2003, S. 283-286.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - [An experimental evaluation of a hospital's internal clinical guideline system. Randomized, controlled crossover pilot study on the efficacy of Intranet-based guidelines for General Internal Medicine at the Park Clinic Weissenssee in Berlin]].
AU - Braune, Stephan
AU - Wegscheider, K
AU - Zielinski, Wiebke
AU - Müller-Lissner, S
PY - 2003
Y1 - 2003
N2 - Randomised, controlled crossover pilot study on the efficacy of Intranet-based guidelines for General Internal Medicine at the Park-Klinik Weissensee in Berlin. As part of the evaluation programme for the intranet-based internal guideline system at the Park-Klinik Weissensee in Berlin, an experimental randomised, controlled trial was conducted in which 12 medical students in their final year were asked to solve 10 clinical vignettes each. A number of written and electronic sources of medical information was available. In addition, the students were allowed to use the internal guideline system for one half of the vignettes in a crossover fashion. There was a sample size-related non-significant trend in favour of the guideline system concerning the primary endpoint "time to right solution" (mean 2.8 min; 95% CI -1.6 to 7.3). A per-protocol-analysis revealed a great variability in the actual use of the guidelines available. There was an inverse "dose-response relationship" between the intensity of guideline usage and the endpoint.
AB - Randomised, controlled crossover pilot study on the efficacy of Intranet-based guidelines for General Internal Medicine at the Park-Klinik Weissensee in Berlin. As part of the evaluation programme for the intranet-based internal guideline system at the Park-Klinik Weissensee in Berlin, an experimental randomised, controlled trial was conducted in which 12 medical students in their final year were asked to solve 10 clinical vignettes each. A number of written and electronic sources of medical information was available. In addition, the students were allowed to use the internal guideline system for one half of the vignettes in a crossover fashion. There was a sample size-related non-significant trend in favour of the guideline system concerning the primary endpoint "time to right solution" (mean 2.8 min; 95% CI -1.6 to 7.3). A per-protocol-analysis revealed a great variability in the actual use of the guidelines available. There was an inverse "dose-response relationship" between the intensity of guideline usage and the endpoint.
KW - Humans
KW - Practice Guidelines as Topic
KW - Cross-Over Studies
KW - Berlin
KW - Students, Medical
KW - Education, Medical/standards
KW - Educational Measurement/methods
KW - Hospital Units/standards
KW - Internal Medicine/standards
KW - Humans
KW - Practice Guidelines as Topic
KW - Cross-Over Studies
KW - Berlin
KW - Students, Medical
KW - Education, Medical/standards
KW - Educational Measurement/methods
KW - Hospital Units/standards
KW - Internal Medicine/standards
M3 - SCORING: Zeitschriftenaufsatz
VL - 97
SP - 283
EP - 286
IS - 4-5
M1 - 4-5
ER -
