The Impact of a Clinical Decision Support System in Diabetes Primary Care Patients in a Developing Country

2016 ◽  
Vol 18 (4) ◽  
pp. 258-263 ◽  
Author(s):  
Júnia Xavier Maia ◽  
Lidiane Aparecida Pereira de Sousa ◽  
Milena Soriano Marcolino ◽  
Clareci Silva Cardoso ◽  
José Luiz Padilha da Silva ◽  
...  
Keyword(s):  
Primary Care ◽  
Decision Support ◽  
Decision Support System ◽  
Developing Country ◽  
Clinical Decision Support ◽  
Support System ◽  
Clinical Decision Support System ◽  
Clinical Decision ◽  
Primary Care Patients ◽  
The Impact

859-P: Impact of a Prediabetes Clinical Decision Support System on CV Risk Factor Control in Primary Care: Randomized Trial

Diabetes ◽  
2021 ◽  
Vol 70 (Supplement 1) ◽  
pp. 859-P
Author(s):  
JAY R. DESAI ◽  
A. LAUREN CRAIN ◽  
DANIEL SAMAN ◽  
JOANN M. SPERL-HILLEN ◽  
CLAYTON ALLEN ◽  
...  
Keyword(s):  
Primary Care ◽  
Risk Factor ◽  
Decision Support ◽  
Decision Support System ◽  
Randomized Trial ◽  
Clinical Decision Support ◽  
Support System ◽  
Clinical Decision Support System ◽  
Clinical Decision ◽  
Risk Factor Control

scholarly journals Toward Implementing Primary Care at Chairside: Developing a Clinical Decision Support System for Dental Hygienists

2015 ◽  
Vol 15 (4) ◽  
pp. 145-151 ◽  
Author(s):  
Stefanie L. Russell ◽  
Ariel Port Greenblatt ◽  
Danni Gomes ◽  
Shirley Birenz ◽  
Cynthia A. Golembeski ◽  
...  
Keyword(s):  
Primary Care ◽  
Decision Support ◽  
Decision Support System ◽  
Clinical Decision Support ◽  
Support System ◽  
Clinical Decision Support System ◽  
Clinical Decision ◽  
Dental Hygienists

scholarly journals A clinical decision support system for venous thromboembolism prophylaxis at a general hospital in a middle-income country

2013 ◽  
Vol 39 (2) ◽  
pp. 138-146 ◽  
Author(s):  
Fernanda Fuzinatto ◽  
Fernando Starosta de Waldemar ◽  
André Wajner ◽  
Cesar Al Alam Elias ◽  
Juliana Fernándes Fernandez ◽  
...  
Keyword(s):  
Decision Support ◽  
Venous Thromboembolism ◽  
Decision Support System ◽  
General Hospital ◽  
Clinical Decision Support ◽  
Support System ◽  
Clinical Decision Support System ◽  
Clinical Decision ◽  
Vte Prophylaxis ◽  
The Impact

OBJECTIVE: To determine the impact that implementing a combination of a computer-based clinical decision support system and a program of training seminars has on the use of appropriate prophylaxis for venous thromboembolism (VTE). METHODS: We conducted a cross-sectional study in two phases (prior to and after the implementation of the new VTE prophylaxis protocol) in order to evaluate the impact that the combined strategy had on the use of appropriate VTE prophylaxis. The study was conducted at Nossa Senhora da Conceição Hospital, a general hospital in the city of Porto Alegre, Brazil. We included clinical and surgical patients over 18 years of age who were hospitalized for ≥ 48 h. The pre-implementation and post-implementation phase samples comprised 262 and 261 patients, respectively. RESULTS: The baseline characteristics of the two samples were similar, including the distribution of patients by risk level. Comparing the pre-implementation and post-implementation periods, we found that the overall use of appropriate VTE prophylaxis increased from 46.2% to 57.9% (p = 0.01). Looking at specific patient populations, we observed that the use of appropriate VTE prophylaxis increased more dramatically among cancer patients (from 18.1% to 44.1%; p = 0.002) and among patients with three or more risk factors (from 25.0% to 42.9%; p = 0.008), two populations that benefit most from prophylaxis. CONCLUSIONS: It is possible to increase the use of appropriate VTE prophylaxis in economically constrained settings through the use of a computerized protocol adhered to by trained professionals. The underutilization of prophylaxis continues to be a major problem, indicative of the need for ongoing improvement in the quality of inpatient care.

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