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April 7, 1999

Putting Computer-Based Evidence in the Hands of Clinicians

Author Affiliations

Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor

JAMA. 1999;281(13):1171. doi:10-1001/pubs.JAMA-ISSN-0098-7484-281-13-jbk0407

To the Editor: Dr Sackett and colleagues1 describe an "evidence cart" that they wheel around with them on clinical rounds. We have developed and evaluated a similar system that puts highly valid evidence-based information on a handheld computer. InfoRetriever is a medical reference tool for primary care physicians that runs on the Newton handheld computer (demonstrated and described at http://www.familypractice.msu.edu/retriever.htm). The Newton is a highly portable pen-based computer that weighs 1 lb.2 InfoRetriever includes drug information, 270 critical appraisals, 420 systematic reviews from the Cochrane Database, selected practice guidelines, 10 clinical prediction rules, and a Bayesian calculator with information on several hundred tests and physical examination maneuvers.

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