Decision support systems

Innovations

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.

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.

Fall Prevention Toolkit Facilitates Customized Risk Assessment and Prevention Strategies, Reducing Inpatient Falls 01/22/11

A fall prevention toolkit uses a computerized algorithm to assess the risk of falling, identify patient-specific risk factors, and design individualized interventions to reduce those risks, leading to fewer falls in the inpatient setting.

Algorithm Enhances Provision of Preventive Treatment to At-Risk Inpatients, Reducing Incidence of Venous Thromboembolism 12/21/10

Providers use a computerized algorithm to classify inpatients as low, moderate, or high risk, and then prescribe anticoagulant (blood thinner) medication and/or mechanical devices as appropriate, leading to reduced incidence of venous thromboembolism.

Web-Based Triage and Scheduling System Generates High Levels of Patient Satisfaction, Enhances Access to Sexual Health Services 11/04/10

Sexual health clinics offer patients the option of requesting an appointment for nonurgent conditions via a Web-based system; the program has proven quite popular with patients and, along with other initiatives, has enhanced the clinics' ability to offer appointments quickly and serve new patients.

Shared Decisionmaking Tools Plus Peer Support Lead to More Efficient and Effective Mental Health Consultations and High Satisfaction 06/10/10

Peer specialists and decision support aids help mental health clients identify preferences about their treatment and communicate these preferences to clinicians during consultations, leading to frequent use of shared decisionmaking, more effective and efficient visits, and high levels of client satisfaction.

Telephone Nurse Triage System Reduces Use of Emergency Department by Nonurgent Patients, Reducing Wait Times, Length of Stay, and Patient Walkouts 06/07/10

A hospital-based telephone triage system allows patients to describe their symptoms to a nurse, who uses an algorithm to assess acuity and determine the best setting for treatment, leading to reductions in emergency department patient volumes, wait times, average length of stay, and walkouts.

Real-Time, Color-Coded Alerts Improve Adherence to Pediatric Asthma Guidelines in Primary Care Practices 05/26/10

Popup, color-coded alerts within an electronic health record moderately improve adherence to established guidelines in primary care practices serving pediatric patients with asthma.

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