When Merck Pharmaceuticals pulled anti-arthritis drug Vioxx from the shelves on Sept. 30, 2004, Evanston (Ill.) Northwestern Healthcare determined that it hadabout 2,700 patients on the drug and notified their doctors, who then called the patients with a substitute prescription.The three-hospital system with 65 medicaloffices did this “within minutes and hours, asopposed to days and weeks,” by using its integratedelectronic health-records system, drivenby computerized physician-order entry, saysTom Smith, chief information officer. “It’s
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