Chart Reminders in the Diagnosis of Anemia

Robert Swift Wigton, J. L. Zimmer, J. H. Wigton, K. D. Patil

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

We hypothesized that chart reminders would decrease the number of cases in which a low admission hemoglobin level was missed or ignored. Additionally, we compared the cost of generating the chart reminders by hand with the estimated cost of modifying the university hospital information system for this function. For three months, two medical students reviewed all abnormal hemoglobin results and assigned those more than 1 g below normal limits to a control or study group. A questionnaire, placed in all study group charts, requested an explanation for the low hemoglobin level. Eleven of 141 study cases and 16 of 150 control cases failed the audit criteria (differences not significant). The cost was $308 compared with $3,000 for altering the hospital information system. We conclude that chart reminders did not improve the detection of anemia and that it cost less to test this intervention by manually simulating the computer function.

Original languageEnglish (US)
Pages (from-to)1745-1747
Number of pages3
JournalJAMA: The Journal of the American Medical Association
Volume245
Issue number17
DOIs
StatePublished - May 1 1981

ASJC Scopus subject areas

  • Medicine(all)

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