What question did this study set out to answer?

To determine the effect of computerized reminders integrated into an order-entry system on ordering rates for four preventive therapies in hospitalized medical patients.

September 27, 2001New England Journal of Medicine

A Computerized Reminder System to Increase the Use of Preventive Care for Hospitalized Patients

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Authors

PDPaul DexterRegenstrief Institute SPSusan M. PerkinsIndiana University Health JOJ. Marc OverhageIntermountain Healthcare

Discussion

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Implication

Randomized trial demonstrates higher rates of preventive therapy ordering in hospitalized patients, indicating computerized alerts improve inpatient preventive care.

Key Points

To determine the effect of computerized reminders integrated into an order-entry system on ordering rates for four preventive therapies in hospitalized medical patients.
Conducted a randomized controlled trial over an 18-month period evaluating 6,371 patients across 10,065 hospitalizations on a general-medicine service.
An automated system screened online patient records and presented reminders to physicians in the intervention group through a computerized order-entry interface when indicated preventive care was missing.
The system identified 3,416 patients (53.6%) eligible for indicated preventive interventions that admitting physicians had not ordered.
Reminders significantly increased vaccination ordering among eligible patients for pneumococcal vaccine (35.8% intervention vs. 0.8% control, P<0.001) and influenza vaccine (51.4% vs. 1.0%, P<0.001).
Reminders significantly increased prophylactic medication orders for heparin (32.2% vs. 18.9%, P<0.001) and aspirin at discharge (36.4% vs. 27.6%, P<0.001).

Cite This Study

Dexter et al. (2001) studied this question.

synapsesocial.com/papers/69ff74bb6018b8d0892d8235 https://doi.org/10.1056/nejmsa010181

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September 27, 2001New England Journal of Medicine

A Computerized Reminder System to Increase the Use of Preventive Care for Hospitalized Patients

View Full Paper

Ask AI

Bookmark

Authors

PDPaul DexterRegenstrief Institute SPSusan M. PerkinsIndiana University Health JOJ. Marc OverhageIntermountain Healthcare

Discussion

Member takes

Implication

Randomized trial demonstrates higher rates of preventive therapy ordering in hospitalized patients, indicating computerized alerts improve inpatient preventive care.

Key Points

To determine the effect of computerized reminders integrated into an order-entry system on ordering rates for four preventive therapies in hospitalized medical patients.
Conducted a randomized controlled trial over an 18-month period evaluating 6,371 patients across 10,065 hospitalizations on a general-medicine service.
An automated system screened online patient records and presented reminders to physicians in the intervention group through a computerized order-entry interface when indicated preventive care was missing.
The system identified 3,416 patients (53.6%) eligible for indicated preventive interventions that admitting physicians had not ordered.
Reminders significantly increased vaccination ordering among eligible patients for pneumococcal vaccine (35.8% intervention vs. 0.8% control, P<0.001) and influenza vaccine (51.4% vs. 1.0%, P<0.001).
Reminders significantly increased prophylactic medication orders for heparin (32.2% vs. 18.9%, P<0.001) and aspirin at discharge (36.4% vs. 27.6%, P<0.001).

Cite This Study

Dexter et al. (2001) studied this question.

synapsesocial.com/papers/69ff74bb6018b8d0892d8235 https://doi.org/10.1056/nejmsa010181

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