Medication: ordering, transcription, administration, dispensing
Case management combined with in-home environmental assessment and remediation of environmental triggers reduce asthma-related hospitalizations, emergency department visits, missed school days, and missed parent work days in diverse, low-income urban children with asthma.
A Web-based registry assists primary care physicians, pediatricians, and school nurses in managing childhood asthma, leading to significant reductions in inpatient admissions and emergency department visits.
Community-based clinic enhances access to medical care and reduces emergency department visits for chronically ill individuals who have recently been released from prison.
A computerized decision support system uses algorithms and real-time patient information to guide the resuscitation of trauma patients, leading to fewer medical errors.
A “shock” protocol involving computerized flagging of abnormal vital signs and initiation of treatment based on standardized order sets led to faster identification and treatment of children with suspected sepsis in the emergency department.
An algorithm-driven program combines hospital-wide inpatient screening for alcohol withdrawal risk, monitoring of at-risk patients, and medical treatment of symptoms, leading to more patients being diagnosed, fewer acute episodes of delirium, and improved care for patients experiencing such episodes.
Electronic alerts related to black box warnings did not affect overall physician prescribing habits in outpatient clinics; the alerts did influence prescribing related to warnings about the most serious potential drug–drug and drug–pregnancy interactions.
A specially designed pill-bottle system supplied visual and auditory reminders to patients, along with telephone reminders after missed doses and progress reports to be shared with providers; the program significantly increased medication adherence in those with uncomplicated hypertension.
Through its commercial electronic medical record system, a large internal medicine practice provides physicians with unobtrusive reminders related to 16 standardized measures and makes it easy for them to order recommended tests or treatment or document legitimate exceptions, leading to better performance on these measures.
A collaborative medication review process involving physicians, nurses, and pharmacists virtually eliminates medication errors and significantly reduces readmissions in patients discharged to a nursing home.