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. 2006 Jul 19;2006(3):CD004348. doi: 10.1002/14651858.CD004348.pub2

Safran 1995.

Methods Controlled clinical trial
Participants 349 subjects 
 a) Control group: 17% Female 
 23% Non‐white 
 Mean age ‐ 42 years 
 b) Intervention group: 
 17% Female 
 17% Non‐white 
 Average age 35.4 years.
Interventions HEALTH INFORMATION SYSTEMS: 
 Computer prompts vs. Control
Outcomes PATIENT MORTALITY: Estimated survival rate at 1 year: 
 a) Control = 88% 
 b) Intervention = 91% p = 0.19 
 PROPORTION OF PTS PROGRESSING TO AIDS (diagnosis of PCP): 
 a) Control = 21 
 b) Intervention = 20 
 p = 0.09 
 PROPORTION OF PTS ON ARVS (# of days til start) 
 a) Control = 43 days 
 b) Intervention = 7 days 
 PROPORTION OF PTS ON INDICATED PROPHYLAXIS (# of days til prophylaxis) 
 a) Control = 122 days 
 b) Intervention = 11 days 
 p = <.0001 
 HEALTHCARE UTILIZATION 
 1 or more hospitalizations 
 a) Control 44% 
 b) Intervention 35% p = .47 
 2) Visits to primary care providers 
 p = .29 
 3) ED Visits 
 p = .24
Notes Computer‐based patient records can be an effective vehicle for delivering care guidelines.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk D ‐ Not used