Lisa Rosenbaum.

Lisa Rosenbaum, M.D here .: Transitional Chaos or Enduring Damage? The EHR and the Disruption of Medicine A decade ago, a primary care doctor I undone admired appeared to come. His efficiency had derived not from rushing between patients but from understanding them so well that his charting was effortless and fast. But he became distracted suddenly, losing his hold on the details of his individuals’ lives. He slumped around, shirt half-untucked, perpetually pulling a yellowed handkerchief from his pocket to wipe his perspiring forehead.

A non-parametric approach for evaluating each C-statistic was utilized.8 P values of significantly less than 0.05 were considered to indicate statistical significance for all tests. All statistical analyses were performed by the Duke Clinical Study Institute by using SAS software, version 9.2 . Results Research Population From 2004 through April 2008 January, data for 1,989,779 individuals undergoing cardiac catheterization at 663 sites were entered in to the NCDR . We excluded 841,374 of these patients because that they had a known background of cardiovascular disease and 519,080 sufferers because they underwent crisis or urgent cardiac catheterization.