Health and Medical News and Resources

General interest items edited by Janice Flahiff

Guide to Clinical Preventive Services 2014: Recommendations of the U.S. Preventive Services Task Force

Guide to Clinical Preventive Services 2014: Recommendations of the U.S. Preventive Services Task Force (ePub) – Available for download at this site.
Source: U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality (via USGPO)

The Guide to Clinical Preventive Services presents abridged U.S. Preventive Services Task Force (USPSTF) recommendations on screening, counseling, and preventive medications for use in primary care practice. The 2014 Guide continues the precedent set by earlier editions in providing the Task Force recommendations in a form that provides on-the-job clinical decision support for clinicians. The Guide is organized and cross referenced so that clinicians can search for recommendations alphabetically by topic and by patient category (adult or child/adolescent).

Related Resource

Choosing Wisely is an initiative of the ABIM Foundation that promotes patient-physician conversations about unnecessary medical tests and procedures.

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July 25, 2015 Posted by | health care | , , , , , , | Leave a comment

IT maybe be helpful for your health! – Clinical decision support, CPOE get thumbs up from academics

Clinical decision support, CPOE get thumbs up from academics 

From the 22 January 2014 news article at EHRIntelligence

Formal academic studies about the implementation of clinical decision support (CDS) and computerized provider order entry (CPOE) are generally positive, according to a study of studies targeting the meaningful use of EHRs and associated technologies.  The report, published in the Annals of Internal Medicine, found that for the most part, health IT implementations were successful in reducing adverse events and increasing efficient and effective processes of care.  However, many key aspects of IT adoption have been underreported, including the reasons why implementations go awry, leading to significant gaps in the ability to study the industry’s progress.

Funded by the ONC, the research team found that at least 78% of studies focused on medication safety found positive effects from CPOE use.  The automated dose calculation features of the software helped reduce dosage errors anywhere between 37% and 80%.
Fifty-eight of the articles reviewed by the researchers addressed efficiency questions, and found that health IT was able to reduce costs in 85% of cases, even though a large number of studies also reported increased time and effort spent on electronic documentation.  Clinical decision support was associated with a 30% increase in adherence to infection prevention guidelines in one study, and a “substantial decline” in venous thromboembolism for patients in another.
Overall, positive findings from CDS and CPOE projects included shorter emergency department turnaround times, more time for clinicians to interact with patients, and better chronic disease management.  However, when individual studies reported negative or mixed findings, there were few clues in the literature as to why the problems manifested themselves or how to correct them.
Read the entire article here

 

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March 13, 2014 Posted by | health care | , , , , , | Leave a comment

   

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