A Computerized Reminder System to Increase the Use of Preventive Care for Hospitalized Patients
New England Journal of MedicinePublished 27 September 2001
Paul Dexter, Susan M. Perkins, J. Marc Overhage, Kati Maharry, Richard Köhler, Clement J. McDonald
Citations529
SJR quartileQ1
SJR score19.08
SNIP13.47
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
A majority of hospitalized patients in this study were eligible for preventive measures, and computerized reminders significantly increased the rate of delivery of such therapies.
Abstract
A majority of hospitalized patients in this study were eligible for preventive measures, and computerized reminders significantly increased the rate of delivery of such therapies.
Keywords
MedicineHealth Professions
BiometricsLongitudinal Data Analysis for Discrete and Continuous Outcomes
7,834 Citations1986Scott L. Zeger, Kung‐Yee Liang
A class of generalized estimating equations (GEEs) for the regression parameters is proposed, extensions of those used in quasi-likelihood methods which have solutions which are consistent and asymptotically Gaussian even when the time dependence is misspecified as the authors often expect.
CHEST JournalPrevention of Venous Thromboembolism
4,393 Citations2001William Geerts, John A. Heit +5 more
BMJCollaborative overview of randomised trials of antiplatelet therapy Prevention of death, myocardial infarction, and stroke by prolonged antiplatelet therapy in various categories of patients
3,125 Citations1994Antiplatelet Trialists' Collaboration
There was no appreciable evidence that either a higher aspirin dose or any other antiplatelet regimen was more effective than medium dose aspirin in preventing vascular events, so in each of the four main high risk categories overall mortality was significantly reduced.
PubMedEffects of computer-based clinical decision support systems on physician performance and patient outcomes: a systematic review.
1,690 Citations1998Dereck L. Hunt, R. Brian Haynes +2 more
The CDSSs can enhance clinical performance for drug dosing, preventive care, and other aspects of medical care, but not convincingly for diagnosis.
PubMedState- and sex-specific prevalence of selected characteristics--Behavioral Risk Factor Surveillance System, 1996 and 1997.
1,110 Citations2000Deborah Holtzman, Eve Powell‐Griner +2 more
The 1996 and 1997 BRFSS data demonstrate that U.S. adults engage in behaviors that are detrimental to their health, but also demonstrate that many adults are making efforts to prevent chronic disease and injury.
Annals of Internal MedicineThe Efficacy of Influenza Vaccine in Elderly Persons
1,102 Citations1995Peter Groß, Alicia W. Hermogenes +3 more
The meta-analysis confirms the findings of several recent studies on the effectiveness of influenza vaccination in elderly persons and should heighten physician awareness and encourage the universal annual use of influenza vaccine in elderly Persons.
New England Journal of MedicineProtocol-Based Computer Reminders, the Quality of Care and the Non-Perfectability of Man
811 Citations1976Clement J. McDonald
It appears that the prospective reminders do reduce errors, and that many of these errors are probably due to man's limitations as a data processor rather than to correctable human deficiencies.
Annals of Internal MedicineReminders to Physicians from an Introspective Computer Medical Record
641 Citations1984Clement J. McDonald, Siu L. Hui +5 more
A computer-stored medical record system containing a limited set of the total clinical data base--primarily diagnostic studies and treatments responds to its own content according to physician-authored reminder rules according to 1490 rules on physician behavior.
Journal of the American Medical Informatics AssociationA Meta-analysis of 16 Randomized Controlled Trials to Evaluate Computer-Based Clinical Reminder Systems for Preventive Care in the Ambulatory Setting
548 Citations1996Steven Shea, William DuMouchel +1 more
Evidence from randomized controlled studies supports the effectiveness of data-driven computer-based reminder systems to improve prevention services in the ambulatory care setting.
JAMAPhysician Inpatient Order Writing on Microcomputer Workstations
535 Citations1993William M. Tierney
A network of microcomputer workstations for writing all inpatient orders significantly lowered patient charges and hospital costs, which would amount to savings of more than $3 million in charges annually for this hospital's medicine service and potentially tens of billions of dollars nationwide.
International Journal of Medical InformaticsThe Regenstrief Medical Record System: a quarter century experience
400 Citations1999Clement J. McDonald, J. Marc Overhage +19 more
The RMRS data model, file structures and architecture, as well as recent necessary changes to these are described as the authors coordinate a collaborative effort among all major Indianapolis hospital systems, improving patient care by capturing city-wide laboratory and encounter data.
Annals of Internal MedicineRelation between Influenza Vaccination and Outpatient Visits, Hospitalization, and Mortality in Elderly Persons with Chronic Lung Disease
386 Citations1999Kristin L. Nichol, Leslie Baken +1 more
This cohort study defines the effects of influenza and the benefits of influenza vaccination in this very-high-risk group of chronically ill elderly persons with chronic lung disease and reports the results of serial, single-season cohort studies conducted among all elderly members of Group Health.
Journal of the American Medical Informatics AssociationA Randomized Trial of "Corollary Orders" to Prevent Errors of Omission
380 Citations1997J. Marc Overhage, William M. Tierney +2 more
This study demonstrates that physician workstations, linked to a comprehensive electronic medical record, can be an efficient means for decreasing errors of omissions and improving adherence to practice guidelines.
CHEST JournalPrevention of Venous Thromboembolism
368 Citations1995G. Patrick Clagett, Frederick A. Anderson +3 more
JAMACost-effectiveness of Vaccination Against Pneumococcal Bacteremia Among Elderly People
355 Citations1997Jane E. Sisk
Pneumococcal vaccination saves costs in the prevention of bacteremia alone and is greatly underused among the elderly population, on both health and economic grounds, and supports recent recommendations of the Advisory Committee on Immunization Practices.
JAMAGeographic Variation in the Treatment of Acute Myocardial Infarction
328 Citations1999Gerald T. O'Connor, Hebe B. Quinton +5 more
Substantial geographic variation exists in the treatment of patients with acute myocardial infarction, and these gaps between knowledge and practice have important consequences.
Annals of Internal MedicinePhysician Practices in the Prevention of Venous Thromboembolism
221 Citations1991Frederick A. Anderson, H. Brownell Wheeler +4 more
Prophylaxis for venous thromboemobolism is underused, particularly in nonteaching hospitals, according to a community-wide study in short-stay hospitals in central Massachusetts.
CHEST JournalAntithrombotic Therapy in Peripheral Arterial Occlusive Disease
211 Citations1992G. Patrick Clagett, Robert A. Graor +1 more
Tissue plasminogen activator acts as a “spatially aggregating force” to spruce up the heparin-like properties of prostaglandin.
Archives of Internal MedicineRisk Factors for Acquiring Pneumococcal Infections
203 Citations1986Benjamin A. Lipsky
To identify risk factors for developing pneumococcal infections, a case-controlled study on a retrospectively constituted cohort of 3074 clinic patients in a presumed high-risk population of men found that dementia, seizure disorders, and current cigarette smoking were the most common risk factors.
JAMAUse of a Low-Literacy Patient Education Tool to Enhance Pneumococcal Vaccination Rates
167 Citations1999Terry A. Jacobson, Donna M. Thomas +4 more
A simple, low-literacy educational tool increased pneumococcal vaccination rates and patient-physician discussions about the vaccine in an elderly, lowliterate, indigent, minority population.
PubMedEffects of computer reminders for influenza vaccination on morbidity during influenza epidemics.
161 Citations1992Clement J. McDonald, Siu L. Hui +1 more
The physicians who received the reminders vaccinated eligible patients twice as often as did the control physicians, and the greater use of influenza vaccine in the intervention group was the most likely explanation for the difference.
JAMAAdult immunization. Summary of the National Vaccine Advisory Committee Report
128 Citations1994David S. Fedson
VaccineThe clinical effectiveness of pneumococcal vaccination:
115 Citations1999David S. Fedson
Alternative strategies of immunological priming of adults with pneumococcal conjugate vaccine followed by boosting with polysaccharide vaccine, or perhaps vaccination with one of the newer protein vaccines, should be considered.
JAMAImpact of Measurement and Feedback on Vaccination Coverage in Public Clinics, 1988-1994
101 Citations1997Charles W. LeBaron
A marked increase in vaccination coverage occurred in Georgia public clinics associated with a program of annual measurement and feedback, suggesting that the rise in coverage inGeorgia public clinics exceeded national trends.
JAMAPhysician inpatient order writing on microcomputer workstations. Effects on resource utilization
100 Citations1993William M. Tierney
PubMedThe Medical Gopher--a microcomputer system to help find, organize and decide about patient data.
92 Citations1986Clement J. McDonald, William M. Tierney
A microcomputer-based medical workstation that does some of physicians' "gopher" work of fetching, organizing, reviewing and recording and is linked to a central hospital information system through a high-speed network link.
CHEST JournalUtilization of Venous Thromboembolism Prophylaxis in the Medical Intensive Care Unit
90 Citations1994Martin Keane, Edward P. Ingenito +1 more
It is concluded that utilization of prophylaxis is low in MICU patients even though they are at high risk for VTE, despite having one VTE risk factor and multiple factors.
Archives of Family MedicineImproving physicians' preventive health care behavior through peer review and financial incentives
76 Citations1995Robert Morrow
Improvement of preventive health care behaviors by physicians in an independent practice association-health maintenance organization measured changes through chart audit, accompanied by peer review, feedback, and financial incentives.
JAMAHospital-Based Pneumococcal Immunization
75 Citations1990David S. Fedson
Analysis of a population-based linked record of hospital discharges for Medicare enrollees living in the Shenandoah region of Virginia provides an epidemiologic rationale for current recommendations that elderly patients discharged from hospitals should be immunized with pneumococcal vaccine.
CHEST JournalAntithrombotic Therapy for Cerebrovascular Disorders
73 Citations1995David G. Sherman, Mark L. Dyken +4 more
Journal of the American Geriatrics SocietyMailed Reminders for Area‐Wide Influenza Immunization: A Randomized Controlled Trial
60 Citations1999David M. Smith, Xiao‐Hua Zhou +3 more
To determine if mailed reminders would increase area‐wide influenza immunization for persons aged 65 and older, mailed reminders are mailed for six months before and after influenza vaccinations are mailed.
Archives of Internal MedicineRisk factors for acquiring pneumococcal infections
51 Citations1986Benjamin A. Lipsky
CHEST JournalAntithrombotic Agents in Coronary Artery Disease
42 Citations1995John A. Cairns, H. Daniel Lewis +3 more
There is a good argument to start aspirin immediately upon the diagnosis of unstable angina and to continue it indefinitely, and those patients who appear particularly unstable with profound episodes of ischemia are likely to benefit from the addition of heparin to their aspirin therapy for the duration of the period of instability of their angina.
PubMedA tool for provider interaction during patient care: G-CARE.
36 Citations1995J. Marc Overhage, Burke W. Mamlin +4 more
This work has extended the CARE language to facilitate interaction with providers using the Medical Gopher order entry system during patient care to create G-CARE, which has used in several randomized controlled trials and for routine clinical applications.
JAMAHospital-based pneumococcal immunization. Epidemiologic rationale from the Shenandoah study
19 Citations1990D. S. Fedson
A population-based linked record of hospital discharges for Medicare enrollees living in the Shenandoah region of Virginia provides an epidemiologic rationale for current recommendations that elderly patients discharged from hospitals should be immunized with pneumococcal vaccine.
CHEST JournalAntithrombotic Therapy in Peripheral Arterial Occlusive Disease
13 Citations1995G. Patrick Clagett, William C. Krupski
Tissue plasminogen activator acts as a “spatially aggregating force” to spruce up the heparin-like properties of prostaglandin.
Annals of Internal MedicineThe Public's Health Is Too Important To Be Left to Public Health Workers
9 Citations1989Walter O. Spitzer, Karen V. Mann
The implications of including patient education and counseling in the physician's clinical armamentarium are discussed, highlighting changes in educational and health care delivery systems that can make such interventions work in preventive programs.