Talk is getting cheap.
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Biomedical subjects
Publications and source records attributed to S M Entine.
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At an active cancer center, patients may be on a large number of different treatment protocols. Each of these protocols has its own examination, test, and treatment modification requirements. It is often difficult for the clinician to keep track of the protocol requirements on all of his patients, so elements of the protocol may be inadvertently omitted. To assist the physician in managing these patients, a computerized protocol surveillance system was developed and implemented at a major cancer center. Compliance with protocol requirements was studied prior to and after introduction of the automated protocol system. There was a statistically significant (p less than 0.02) improvement in nonroutine test ordering (from 80 to 95%) and therapeutic modification (from 91 to 99%) compliance. Introduction of an automated protocol surveillance system can result in improved protocol compliance.
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Computer-based clinical simulations provide a means for evaluating the information-gathering and patient-management competencies of physicians. The need for expensive computer terminals has restricted physician use of these simulations. This computer-based program permits physicians to complete computer-based encounters using a standard touch-tone telephone.
Simple randomization of patients to treatment regimens in clinical trials can result in inbalance among stratum categories. Procedures that produce balance may lack randomness. Systems that are not deterministic yet produce balance are often extremely complex and are not easily performed by randomization clerks. A microcomputer-based voice-response system has been implemented that permits clinic staff to easily randomize patients in clinical trials despite the complexity of the algorithm. Data entry is accomplished by the use of Touch-Tone keys. Input prompts and regimen assignment are spoken by a commercially available voice synthesizer.