Decision support systems

Innovations

Computerized Alerts Do Not Influence Physician Ordering Habits or Improve Clinical Outcomes for Elderly, Hospitalized Patients With Cognitive Impairment 09/14/12

Computerized alerts did not influence physician ordering habits or improve clinical outcomes for elderly, hospitalized patients with cognitive impairment.

Alerts and Decision Support for Abnormal Laboratory Values Do Not Improve Clinical Management or Reduce Adverse Events 01/11/12

The combination of clinical alerts and decision support related to abnormal laboratory values had no impact on the clinical management of patients or the frequency of adverse events.

Case Managers Remotely Monitor Chronically Ill Medicare Beneficiaries Each Day, Reducing Mortality and Costs 01/09/12

Case managers remotely monitor Medicare beneficiaries with chronic conditions via a messaging device that asks and records answers to disease-specific and general health questions each day, leading to lower mortality and costs.

Community Pediatricians Use Software to Diagnose and Manage Attention-Deficit/Hyperactivity Disorder, Leading to Improvements in Symptoms 11/26/11

Pediatricians in community practice use computer software and a manual to diagnose and manage attention-deficit/hyperactivity disorder, leading to significant improvements in symptoms.

Online Tutorial and Interactive Workshop Support Physicians in Employing Shared Decisionmaking With Patients, Reducing Antibiotic Use for Acute Respiratory Infections 08/24/11

An online tutorial and interactive workshop supported family physicians in engaging in shared decisionmaking with patients, reducing use of antibiotics for acute respiratory infections.

Solo Practitioner Uses Electronic Medical Record To Redesign Care Processes, Leading to Greater Adherence to Recommended Processes and Improved Outcomes 07/07/11

A solo practitioner leverages various functions within the electronic medical record to redesign care processes, leading to greater adherence to recommended care processes and improved outcomes for patients with diabetes.

Culturally Appropriate, Interactive Decision Aid Yields High Quit Rates Among Underserved, Low-Literacy Latino and Hispanic Smokers 07/05/11

A culturally appropriate, interactive decision aid placed at health fairs and in safety net clinics generates high levels of engagement among underserved Hispanic and Latino smokers, leading to well above-average quit rates.

Computerized Alerts Significantly Reduce D-Dimer Testing to Diagnose Blood Clots in Elderly Patients, Increase Use of More Accurate Alternative 05/06/11

Pop-up alerts significantly reduce D-dimer testing to diagnose venous thromboembolism in elderly patients, increasing use of a more accurate alternative imaging test instead.

Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer Medical Errors 05/04/11

A computerized decision support system uses algorithms and real-time patient information to guide the resuscitation of trauma patients, leading to fewer medical errors.

Emergency Department Protocol Leads to Faster Identification and Treatment of Pediatric Patients With Sepsis 04/10/11

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.

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