A lipid management program, results of applying national guidelines in a private practice

Robbins, Joseph; Clair, Jesse St.; Ashby, Charles R.; Sokolinsky, Shirley; O'Donnell, Leslie; Witkowski, Kathy

doi:10.1016/0735-1097(91)92523-o

Cited by 1 publication

(2 citation statements)

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“…The Lipid Management Program calculated lipid fractions. 27 Aggregation services were described for only a few systems. In many cases, it is clear that database capabilities would allow aggregation of individual patient data, but only two reports explicitly described aggregation services.…”

Section: Servicesmentioning

confidence: 99%

“…12,30 Use of a lipid tracking system was associated with improvements in patients' cholesterol and lipid fractions. 27 A system for prevention of pressure ulcers was associated with a decreased incidence of decubiti, 34 and Dexter et al 16 reported a significant improvement in the completion of advance directives (15 percent vs 4 percent for a control group) using a computer-based reminder system. An intervention to substitute appropriate antihypertensives for calcium channel blockers did not have any effect on patients' blood pressure, 28 and alerts about appropriate HIV management did not change admission rates, emergency department visits, survival, or pneumocystis admissions.…”

Section: Evaluationsmentioning

confidence: 99%

See 1 more Smart Citation

Computer-based Guideline Implementation Systems: A Systematic Review of Functionality and Effectiveness

Shiffman

Liaw

Brandt

et al. 1999

Journal of the American Medical Informatics Association

261

163

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In this systematic review, the authors analyze the functionality provided by recent computer-based guideline implementation systems and characterize the effectiveness of the systems. Twenty-five studies published between 1992 and January 1998 were identified. Articles were included if the authors indicated an intent to implement guideline recommendations for clinicians and if the effectiveness of the system was evaluated. Provision of eight information management services and effects on guideline adherence, documentation, user satisfaction, and patient outcome were noted. All systems provided patient-specific recommendations. In 19, recommendations were available concurrently with care. Explanation services were described for nine systems. Nine systems allowed interactive documentation, and 17 produced paper-based output. Communication services were present most often in systems integrated with electronic medical records. Registration, calculation, and aggregation services were infrequently reported. There were 10 controlled trials (9 randomized) and 10 time-series correlational studies. Guideline adherence improved in 14 of 18 systems in which it was measured. Documentation improved in 4 of 4 studies.

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Section: Servicesmentioning

confidence: 99%