Diabetes electronic management system (DEMS) is a component-based client/se
rver application, written in Visual C + + and Visual Basic, with the databa
se server running Sybase System 11. DEMS is built entirely with a combinati
on of dynamic link libraries (DLLs) and ActiveX components - the only excep
tion is the DEMS.exe. DEMS is a chronic disease management system for patie
nts with diabetes. It is used at the point of care by all members of the di
abetes team including physicians, nurses, dieticians, clinical assistants a
nd educators. The system is designed fur maximum clinical efficiency and fa
cilitates appropriately supervised delegation of care. Dispersed clinical s
ites may be supervised from a central location. The system is designed for
ease of navigation; immediate provision of many types of automatically gene
rated reports; quality audits; aids to compliance with good care guidelines
; and alerts, advisories, prompts, and warnings that guide the care provide
r. The system now contains data on over 34 000 patients and is in daily use
at multiple sites. (C) 2000 Elsevier Science Ireland Ltd. All rights reser
ved.