OBJECTIVE To determine the effectiveness of providing synthesized research evidence to inform patient care practices via an evidence based informatics program, the Clinical Informatics Consult Service (CICS). DESIGN Consults were randomly assigned to one of two conditions: CICS Provided, in which clinicians received synthesized information from the biomedical literature addressing the consult...

This paper analyzes the appointment scheduling systems in specialist outpatient clinics (SOC) to determine the optimal number of appointments to be planned in one session under different performance indicators and consult room configurations. A discrete event simulation model is constructed to model the workflow of a SOC considering three consult room configurations. Ground data are collected t...

A study exploring the acceptability of a nurse practitioner to a random sample of 126 patients is reported. Sixty per cent of patients either approved of the concept and expressed willingness to consult the nurse or held no strong views. Fifty three per cent of the 61 patients who had seen her already were prepared to see her again. Fifty four per cent of patients had difficulty in differentiat...

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