Key result
Use of a standardized heart failure order set was associated with reduced in-patient mortality (OR 0.49; 95% CI 0.28-0.88) and increased core measures compliance (OR 1.51; 95% CI 1.08-2.12).
Why the study?
Does a standardized heart failure order set improve outcomes, quality of care, and reduce costs in hospitalized adults with heart failure?
Observational
Yes
Does a standardized heart failure order set improve outcomes, quality of care, and reduce costs in hospitalized adults with heart failure?
Effect estimate: OR 0.49 (95% CI 0.28-0.88)
Implementation of an evidence-based standardized heart failure order set significantly improved guideline adherence and reduced in-patient mortality and direct costs of care.
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Warrants caution before routine adoption; leaves open whether order sets causally reduce HF mortality pending RCTs.
Ballard et al. (2010) conducted an observational in Heart failure. Standardized heart failure order set vs. Without the order set was evaluated on In-patient mortality (OR 0.49, 95% CI 0.28-0.88). Use of a standardized heart failure order set was associated with reduced in-patient mortality (OR 0.49; 95% CI 0.28-0.88) and increased core measures compliance (OR 1.51; 95% CI 1.08-2.12).
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