PMID- 7649459 OWN - NLM STAT- MEDLINE DCOM- 19950928 LR - 20190913 IS - 0163-8343 (Print) IS - 0163-8343 (Linking) VI - 17 IP - 3 DP - 1995 May TI - Operationalizing a bedside pen entry notebook clinical database system in consultation-liaison psychiatry. PG - 165-72 AB - No current system of computerized data entry of clinical information in consultation-liaison (C-L) psychiatry has been well received or has demonstrated that it saves the consultant's time. The inability to achieve accurate, complete, systematic collection of discrete variables and data entry in the harried C-L setting is a major impediment to the advancement of the subspecialty and health services research. The hand-held Notebook computer with Windows PEN ENTRY MICROCARES capabilities has permitted one-time direct entry of data at the time of collection at the patient's bedside. Variable choice and selection enhances the completeness and accuracy of data collection. For example, ICD-9, Axis III diagnoses may be selected from a "look-up" which at the same time automatically assigns the appropriate code and diagnostic-related groups, (DRG) number. A patient narrative can be typed at the nurse's station, a chart note printed for the medical record, and the MICRO-CARES literature database perused with the printing of selected citations, abstracts, and in some cases experts' commentaries for the consultee. The consultant's documentation time is halved using the NOTEBOOK WINDOWS PEN ENTRY MICRO-CARES software, with the advantage of more accurate and complete data description than with the traditional handwritten consultation records. Consultees preferred typewritten in contrast to handwritten notes. The cost of the hardware (about $2000) is less than that of an optical scanner, and it permits report generation and archival searches at the nurses' station without returning to the C-L office for scanning. Radio frequency or ethernet download from the Notebook permits direct data transfer to th C-L office archive computer. FAU - Hammer, J S AU - Hammer JS AD - Mount Sinai School of Medicine, New York, New York 10029, USA. FAU - Strain, J J AU - Strain JJ FAU - Friedberg, A AU - Friedberg A FAU - Fulop, G AU - Fulop G LA - eng PT - Comparative Study PT - Journal Article PL - United States TA - Gen Hosp Psychiatry JT - General hospital psychiatry JID - 7905527 SB - IM CIN - Gen Hosp Psychiatry. 1995 May;17(3):157-9. PMID: 7649457 MH - Attitude of Health Personnel MH - Computer Peripherals MH - Data Collection/instrumentation MH - Diagnosis, Computer-Assisted/instrumentation MH - Documentation/methods MH - Humans MH - *Information Systems MH - Interview, Psychological MH - Medical Records Systems, Computerized/*instrumentation MH - Mental Disorders/classification/*diagnosis/psychology MH - *Microcomputers MH - *Patient Care Team MH - Physician-Patient Relations MH - Software EDAT- 1995/05/01 00:00 MHDA- 1995/05/01 00:01 CRDT- 1995/05/01 00:00 PHST- 1995/05/01 00:00 [pubmed] PHST- 1995/05/01 00:01 [medline] PHST- 1995/05/01 00:00 [entrez] AID - 016383439500021I [pii] AID - 10.1016/0163-8343(95)00021-i [doi] PST - ppublish SO - Gen Hosp Psychiatry. 1995 May;17(3):165-72. doi: 10.1016/0163-8343(95)00021-i.