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Quality improvement
A comprehensive annotated reminder tool increased appropriate screening in primary care

https://doi.org/10.1136/ebm.7.4.127

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    (2001) J Fam Pract 50, 767; Shannon KC, Sinacore JM, Bennett SG, et al.. Improving delivery of preventive health care with the comprehensive annotated reminder tool (CART).. Sep;. :. –71.
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 QUESTION: Does a comprehensive annotated reminder tool (CART) prompt appropriate application of preventive service recommendations by resident physicians?

    Design

    1 year randomised {allocation concealed*}†, blinded (outcome assessor),* controlled trial.

    Setting

    Community hospital clinic in suburban Chicago, USA.

    Participants

    31 resident physicians who cared for patients ≥ 19 years of age at the clinic.

    Intervention

    Residents were allocated to the CART (n=15) or to a control group that used blank history and physical examination forms (n=16). The CART consisted of forms that documented the history and physical examination by integrating age appropriate screening questions, age specific reminders, and test frequency recommendations. The forms were provided for 3 age cohorts, each with guidelines …

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    Footnotes

    • Source of funding: Advocate Christ Hospital Medical Fund.

    • For correspondence: Dr K C Shannon, Dartmouth College, Hanover, New Hampshire, USA.Kevin.C.Shannon{at}Dartmouth.edu.

    • ↵* See glossary.

    • ↵† Information provided by author.