Results were inconsistent for changes in CVD risk factors such as systolic and diastolic blood pressure , total and low-density lipoprotein cholesterol , and hemoglobin A1C levels .
CONCLUSIONS CDSSs are effective in improving clinician practice s related to screening and other preventive care services , clinical tests , and treatments .
CONTEXT Clinical decision support systems ( CDSSs ) can help clinicians assess cardiovascular disease ( CVD ) risk and manage CVD risk factors by providing tailored assessment s and treatment recommendations based on individual patient data .
The goal of this systematic review was to examine the effectiveness of CDSSs in improving screening for CVD risk factors , practice s for CVD-related preventive care services such as clinical tests and prescribed treatments , and management of CVD risk factors .
Computer reminders to implement preventive care guidelines for hospitalized patients.
BACKGROUND Hospitalizations are an opportunity to provide preventive care . OBJECTIVE To determine if computer reminders , which we have shown to be effective in our ambulatory care setting , increasing the provision of inpatient preventive care . METHODS R and omized , controlled trial on the general medicine inpatient service of an urban , university-affiliated public hospital . Study subjects were 78 house staff rotating on the 6 general medicine services . The intervention was reminders to physicians printed on daily rounds reports about preventive care for which their patients were eligible , and suggested orders for preventive care provided through the physicians ' workstations . The preventive care guidelines were derived from the US Preventive Care Task Force recommendations . Compliance with preventive care guidelines and house staff attitudes toward providing preventive care to hospitalized patients were the main outcome measures . RESULTS No significant differences were seen between intervention and control physicians in compliance with preventive care guidelines in the aggregate or when individual preventive care actions individual preventive care actions were analyzed . This was true even though most physicians endorsed providing most kinds of preventive care for hospitalized patients . CONCLUSIONS Despite past success in increasing preventive care in the outpatient setting , we were unable , using a moderately intensive intervention , to increase the provision of preventive care during hospitalizations . The physicians providing care during the hospitalization were not the patients ' primary care physicians , which proved to be an important barrier . More intensive interventions , or more direct linkages between inpatient and outpatient care providers , may be required to overcome this resistance
Results were inconsistent for changes in CVD risk factors such as systolic and diastolic blood pressure , total and low-density lipoprotein cholesterol , and hemoglobin A1C levels .
CONCLUSIONS CDSSs are effective in improving clinician practice s related to screening and other preventive care services , clinical tests , and treatments .
CONTEXT Clinical decision support systems ( CDSSs ) can help clinicians assess cardiovascular disease ( CVD ) risk and manage CVD risk factors by providing tailored assessment s and treatment recommendations based on individual patient data .
The goal of this systematic review was to examine the effectiveness of CDSSs in improving screening for CVD risk factors , practice s for CVD-related preventive care services such as clinical tests and prescribed treatments , and management of CVD risk factors .