AI Article Synopsis
- * Despite implementing these reminders in primary care clinics, there was no significant improvement in the rates of recommended testing compared to control clinics.
- * A majority of surveyed healthcare providers reported rarely using these reminders, indicating potential issues with workflow integration that may have hindered their effectiveness.
Article Abstract
Actionable reminders (electronic reminders linked to computerized order entry) might improve care by facilitating direct ordering of recommended tests. The authors implemented four enhanced actionable reminders targeting performance of annual mammography, one-time bone-density screening, and diabetic testing. There was no difference in rates of appropriate testing between the four intervention and four matched, control primary care clinics for screening mammography (OR 0.81, 95% CI 0.64 to 1.02), bone-density exams (OR 1.29, 95% CI 0.82 to 2.02), HbA1c monitoring (OR 0.91, 95% CI 0.58 to 1.42) and LDL cholesterol monitoring (OR 1.40, 95% CI 0.76 to 2.59). Of the survey respondents, 79% almost never used the system or were unaware of the functionality. In the 9/228 (3.9%) cases with indirect evidence of mammography reminder use, there was a significantly lower proportion with test performance. Our actionable reminders did not improve receipt of overdue testing, potentially due to limitations of workflow integration.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3116255 | PMC |
| http://dx.doi.org/10.1136/jamia.2010.003152 | DOI Listing |
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