A study using microcomputer algorithms for more efficient management of six common pediatric care problems found improvements in all performance measures with computer algorithm use. However, use was discontinued after five weeks because the six physicians perceived the algorithms as too tedious for routine care. (Author/MSE)

Implementation of the University of Virginia Medical Center's computerized system for mandatory recordkeeping of physician orders is discussed, focusing on issues raised among residents and physicians: time required for system use; changes in work responsibilities, patterns, and priorities; and attitudes. Recommendations are made for institutions…