Development, implementation and evaluation of an electronic medical record prompt for bone density testing.
Health Informatics J
; 15(4): 296-304, 2009 Dec.
Article
em En
| MEDLINE
| ID: mdl-20007654
ABSTRACT
The purpose of this study was to assess whether an electronic prompt promoting BMD testing affected the proportion of patients who received BMD and/or bone health medication. Rheumatology providers of patients 40+, on prednisone, with no record of BMD testing in the past 2 years, were targeted with the message 'This patient is at risk for osteoporosis due to prednisone use. We have no record of a recent Dexa scan.' We also surveyed providers on the prompt's value. The use of prednisone remained stable; BMD testing was quite low in all periods but increased slightly (non-statistically) over time, as did bone health medication use. Providers found the prompt not tailored enough to be clinically meaningful. Electronic prompts seem beneficial in theory; however, putting them into practice has challenges. While the EMR has great potential to improve care, more needs to be done to ensure optimal use.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Reumatologia
/
Atitude do Pessoal de Saúde
/
Absorciometria de Fóton
/
Densidade Óssea
/
Sistemas de Alerta
/
Registros Eletrônicos de Saúde
Tipo de estudo:
Diagnostic_studies
/
Evaluation_studies
/
Prognostic_studies
Limite:
Humans
Idioma:
En
Revista:
Health Informatics J
Ano de publicação:
2009
Tipo de documento:
Article
País de afiliação:
Estados Unidos