Technology—HIT

Innovations

Statewide, Team-Based Fitness Program Uses Online Social Networking and Competition to Promote Exercise and Weight Loss in Adults 03/31/11

A team-based program combines competition with online and inperson social support to increase physical activity and promote weight loss in adults throughout Rhode Island.

Hospital-Wide Inpatient Screening for Alcohol Withdrawal and Algorithm-Driven Treatment Improve Care and Reduce Acute Delirium Episodes 03/30/11

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, Patient Education, and Performance Reports Improve Adherence to Guideline Designed to Reduce Early Elective Inductions 03/29/11

Electronic alerts, patient education, and provider performance reports promote adherence to a guideline covering early elective inductions, leading to a significant decline in such inductions, shorter average labor, and fewer newborn complications.

Electronic Alerts Related to Black Box Warnings Do Not Affect Overall Physician Prescribing Habits in Outpatient Clinics 03/28/11

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.

In-Office Education via Hand-Held Electronic Device Enhances Patient Knowledge Without Burdening Primary Care Staff 03/22/11

A primary care clinic offers patients 3- to 5-minute educational video modules, leading to enhanced patient knowledge without placing incremental demands on physicians and staff.

Specialists Train and Support Rural and Prison-Based Primary Care Clinicians, Enhancing Access to Hepatitis C Care 03/15/11

University-based specialists provide initial training and host weekly, case-based consultations with primary care clinicians, enhancing access to hepatitis C care for prisoners and rural patients throughout New Mexico.

Electronic System for Tracking Test Results Pending at Hospital Discharge Draws Little Use or Enthusiasm From Hospitalists 03/11/11

Hospitalists used an electronic application to track the pending test results of recently discharged inpatients; the application proved to be of limited value, with nearly half of hospitalists never using it and nearly all reporting multiple barriers to doing so.

Electronic Standing Orders Highlight Care Gaps and Allow Nonphysicians to Address Them, Leading to Increased Provision of Preventive Services 03/08/11

Primary care practices incorporate standing orders for preventive care services into the electronic health record, allowing nonphysician clinical staff to fill gaps in care; the program substantially increased the provision of needed services to eligible patients.

One-Time Personalized Electronic Reminder From Primary Care Physician to Patient Does Not Increase Colorectal Cancer Screening Rates 02/18/11

A one-time personalized electronic message from a patient's primary care physician did not increase colorectal cancer screening rates in eligible adults overdue for such screening.

Unobtrusive, Actionable Reminders and Performance Feedback Improve Physician Performance on Standardized Quality Measures 02/17/11

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.

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