title: Improving adherence to coronary heart disease secondary prevention medication guidelines at a community hospital.
abstract: 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.
authors.affiliation: Department of Medicine, Washington University School of Medicine, St. Louis, Missouri, USA.
authors.forename: Thomas C
authors.initials: TC
authors.lastname: Bailey
authors.forename: Laura A
authors.initials: LA
authors.lastname: Noirot
authors.forename: Brian F
authors.initials: BF
authors.lastname: Gage
authors.forename: Xia
authors.initials: X
authors.lastname: Li
authors.forename: William D
authors.initials: WD
authors.lastname: Shannon
authors.forename: Brian
authors.initials: B
authors.lastname: Waterman
authors.forename: Stuti
authors.initials: S
authors.lastname: Sinha
authors.forename: Dennis A
authors.initials: DA
authors.lastname: Bouselli
authors.forename: Richard M
authors.initials: RM
authors.lastname: Reichley
authors.forename: Anne C
authors.initials: AC
authors.lastname: Goldberg
authors.forename: Wm Claiborne
authors.initials: WC
authors.lastname: Dunagan
mesh_terms: 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