Taipei Medical University

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Chen CF
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------>journal_name=APACPH, Taiwan
------>paper_name=Integration of practice guideline in physician order entry system.
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------>fullAbstract=OBJECTIVE: In the context of an inpatient care provider order entry (CPOE) system, to evaluate the impact of a decision support tool on integration of cardiology "best of care" order sets into clinicians~ admission workflow, and on quality measures for the management of acute myocardial infarction (AMI) patients. DESIGN: A before-and-after study of physician orders evaluated (1) per-patient use rates of standardized acute coronary syndrome (ACS) order set and (2) patient-level compliance with two individual recommendations: early aspirin ordering and beta-blocker ordering. MEASUREMENTS: The effectiveness of the intervention was evaluated for (1) all patients with ACS (suspected for AMI at the time of admission) (N = 540) and (2) the subset of the ACS patients with confirmed discharge diagnosis of AMI (n = 180) who comprise the recommended target population who should receive aspirin and/or beta-blockers. Compliance rates for use of the ACS order set, aspirin ordering, and beta-blocker ordering were calculated as the percentages of patients who had each action performed within 24 hours of admission. RESULTS: For all ACS admissions, the decision support tool significantly increased use of the ACS order set (p = 0.009). Use of the ACS order set led, within the first 24 hours of hospitalization, to a significant increase in the number of patients who received aspirin (p = 0.001) and a nonsignificant increase in the number of patients who received beta-blockers (p = 0.07). Results for confirmed AMI cases demonstrated similar increases, but did not reach statistical significance. CONCLUSION: The decision support tool increased optional use of the ACS order set, but room for additional improvement exists.
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------>authors2=Li YC
------>authors3=Chiu WT
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------>authors=Chen CF
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------>updateTitle=Integrating "best of care" protocols into clinicians~ workflow via care provider order entry: impact on quality-of-care indicators for acute myocardial infarction.
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------>publish_year=2005
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------>publish_month=11
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z