Implementation of an automated guideline monitor for secondary prevention of acute myocardial infarction.
Clinical practice guidelines can be used to help improve health care quality, but they are often not optimally implemented. Practice enabling and reinforcing techniques, such as clinical reminders and academic detailing are effective methods for translating guidelines into practice. Following a study showing that we could improve adherence to secondary prevention guidelines for acute myocardial infarction (AMI) using computerized alerts and academic detailing, we implemented an automated monitor to accomplish the same goal in a less labor-intensive manner. This paper describes the implementation of this production application.
Noirot
Laura A
LA
Medical Informatics, Washington University School of Medicine, BJC Heathcare, St. Louis, MO, USA.
Blickensderfer
Amy
A
Christensen
Erin
E
Schaiff
Robyn
R
Kessels
Anthony
A
Braverman
Alan
A
Goldberg
Anne
A
Dunagan
William Claiborne
WC
Bailey
Thomas C
TC
D004360:Drug Therapy, Computer-Assisted; D005103:Expert Systems; D019983:Guideline Adherence; D006801:Humans; D009203:Myocardial Infarction / Q000188:drug therapy* / Q000517:prevention & control; D017410:Practice Guidelines as Topic