Improving adherence to coronary heart disease secondary prevention medication guidelines at a community hospital.
Using a two-period group randomized study, we tested whether a technology assisted pharmacist intervention improved physician adherence to coronary heart disease (CHD) secondary prevention medication guidelines. After an observation period, physician practices were randomized to intervention or control arms. In the intervention arm, alerts prompted a pharmacist to communicate with the responsible physician about secondary prevention medications. The intervention significantly improved the proportion of patients discharged on appropriate secondary prevention medications.
Bailey
Thomas C
TC
Department of Medicine, Washington University School of Medicine, St. Louis, Missouri, USA.
Noirot
Laura A
LA
Gage
Brian F
BF
Li
Xia
X
Shannon
William D
WD
Waterman
Brian
B
Sinha
Stuti
S
Bouselli
Dennis A
DA
Reichley
Richard M
RM
Goldberg
Anne C
AC
Dunagan
Wm Claiborne
WC
D003327:Coronary Disease / Q000188:drug therapy*; D004360:Drug Therapy, Computer-Assisted; D019983:Guideline Adherence; D006764:Hospitals, Community; D006801:Humans; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D017010:Reminder Systems; D055502:Secondary Prevention