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- Title
Actionable reminders did not improve performance over passive reminders for overdue tests in the primary care setting.
- Authors
EI-Kareh, Robert E.; Gandhi, Tejal K.; Poon, Eric G.; Newmark, Lisa P.; Ungar, Jonathan; Orav, E. J.; Sequist, Thomas D.
- 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% Cl 0.64 to 1.02), bone-density exams (OR 1.29, 95% Cl 0.82 to 2.02), HbAlc monitoring (OR 0.91, 95% Cl 0.58 to 1.42) and LDL cholesterol monitoring (OR 1.40, 95% Cl 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.
- Subjects
ELECTRONIC data processing; DIAGNOSTIC services; HEALTH care reminder systems; MEDICAL screening; PERIODIC health examinations; MAMMOGRAMS; BONE densitometry; BLOOD sugar monitoring
- Publication
Journal of the American Medical Informatics Association, 2011, Vol 18, Issue 2, p160
- ISSN
1067-5027
- Publication type
Article
- DOI
10.1136/jamia.2010.003152