OBJECTIVE: To determine whether a computer-assisted reminder would alter prescribing habits for the treatment of @entity101 in accordance with current clinical guidelines in a general internal medicine clinic. DESIGN: A randomized trial. SETTING: The General Internal Medicine Clinic of the Veterans Affairs Puget Sound Health Care System, Seattle Division. @entity1 / @entity1 : Clinic providers were randomized to a control group (n = 35) or intervention group (n = 36). We targeted the providers of @entity1 being treated for @entity101 with @entity460 channel blockers, a class of drug not recommended for initial therapy. INTERVENTION: An automated computer query identified eligible @entity1 and their providers. A guideline reminder was placed in the charts of @entity1 of intervention providers; the charts of @entity1 of control providers received no reminder. MEASUREMENTS AND MAIN RESULTS: During the 5-month study period, 346 @entity1 were seen by the 36 primary care providers (staff physicians, nurse practitioners, residents, and fellows) in the intervention group, and 373 @entity1 were seen by the 35 providers in the control group. Intervention providers changed 39 @entity1 (11.3%) to other medications during the study period, compared with 1 @entity1 (<1.0%) of control providers (p < .0001). For @entity1 whose therapy was unchanged, providers noted angina in 23.1%, indications other than those for @entity101 in 9.5%, intolerable adverse effects with first-line therapy in 13.9%, and inadequate control with first-line therapy in 13.9%. Of those @entity1 without provider-indicated contraindications, 23.6% were switched from @entity460 channel blockers to first-line agents during the intervention period. CONCLUSIONS: The use of a computerized, clinic-based intervention increased compliance with guidelines in the treatment of primary @entity101 in general, and decreased the use of @entity460 channel blockers for the treatment of @entity101 in particular.

A computerized intervention to decrease the use of @entity460 channel blockers in XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'PATIENTS', 'PARTICIPANTS'] @entity101 :: ('MESH:D006973', 'Disease') :: ['hypertension'] @entity460 :: ('MESH:D002118', 'Chemical') :: ['calcium']
@entity101 :: (MESH:D006973,Disease) :: ['hypertension']
