However the technology shall support and improve medical care only if it evolves in ways that help, rather than hinder, us in synthesizing, examining, thinking critically, and telling the complete stories of our patients.. Lisa Rosenbaum, M.D.: Transitional Enduring or Chaos 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 really from rushing between sufferers but from knowing them so well that his charting was effortless and fast. But he became distracted all of a sudden, losing his grip on the details of his patients’ lives.Outcome Actions The principal outcome measure was the change in FVC over 60 weeks. George’s Respiratory Questionnaire; dyspnea, as measured with the use of the University of California at NORTH PARK Shortness of Breath Questionnaire; general capability, as measured by using the Investigating Choice Experiments for the Preferences of THE ELDERLY Capability Instrument ; the types and rate of recurrence of adverse events, along with infectious and non-infectious respiratory complications; and the regularity of all-cause and respiratory-related hospitalizations. Adjudication The IPFnet adjudication committee was tasked with reviewing all deaths and hospitalizations, along with all full cases of suspected acute exacerbation, to determine the cause. The prespecified description of acute exacerbation was relative to published requirements.9 Statistical Analysis After accounting for a potential dropout rate of 20 percent and a 2 percent rate of nonadherence,10 we calculated that a sample size of 130 patients per study group would give a power of 93 percent to determine a substantial between-group difference of 0.15 liters in the FVC over a 60-week period.11 All the analyses were predicated on the intention-to-treat basic principle and included all patients who underwent randomization.