Navigation Links
Giving doctors the complete picture
Date:3/6/2009

INDIANAPOLIS During the course of a hospitalization, patients are seen by a variety of specialists in addition to the physician who has primary responsibility for their care. However, faulty communication, inappropriate timing, inadequate details, illegibility, lost paperwork or other problems may keep the specialists' recommendations from being evaluated and implemented.

An award-winning study by Martin Were, M.D., of the Regenstrief Institute and colleagues reports on the success of a physician decision-support tool they developed to overcome these barriers and to complement physician-to-physician communication processes already in place. The computer tool facilitated convenient flow of information, providing both the specialists and the patient's primary-care physician with detailed information on the patient and the advice sought at the right time and place. They found that when using the new computer tool, medical recommendations from geriatrics consultants were implemented 30 percent more frequently than when it was not used.

"Consulted specialists might not have the full clinical or most current picture of the patient. For example, they might not know all medications the patient is taking, the patient's allergies, or the most current results of tests ordered by others. The decision-support system provided by our computer tool eliminated these problems. We alerted the specialist when a drug he was contemplating prescribing conflicted with another medication the patient was taking. Automatic electronic notification of the exact specialist recommendations eliminated the need for the patient's primary doctor to leaf through a thick medical file to see the specialist's recommendations and the details of these recommendations. The tool also lets the specialists know if their recommendations have been implemented by the patient's primary doctor. All these benefits can be very important for patient safety," said Dr. Were, who is an internist.

The study, entitled "Using Computerized Provider Order Entry and Clinical Decision Support to Improve Referring Physicians' Implementation of Consultants' Medical Recommendations," earned Dr. Were the American Medical Informatics Association's 2008 prize for Best Student Paper and is published in the March/April 2009 issue of Journal of the American Medical Informatics Association.

Dr. Were developed the physician support tool during his fellowship in medical informatics at the Regenstrief Institute under the mentorship of Michael Weiner, M.D., IU School of Medicine associate professor of medicine and a Regenstrief Institute research scientist.

"Although medical specialists provide critical advice about diagnosis and treatment, up to half of their recommendations are not implemented," said Dr. Weiner. "This work, based at Wishard Health Services, showed that electronic facilitation of consultants' recommendations is not only valued by physicians but can markedly improve the chance that the recommendations will be followed."

According to Dr. Were and Dr. Weiner, use of the new clinical support tool may save health-care dollars by decreasing delays in care, improving patient safety, and prioritizing specialty treatment. The next step is to see how big a difference implementation of the system makes in patients' outcomes, duration of hospitalization and costs of care.


'/>"/>

Contact: Cindy Fox Aisen
caisen@iupui.edu
317-274-7722
Indiana University
Source:Eurekalert

Related medicine news :

1. Stein Eriksen Lodge Designates April 6-12 as Giving Room Week
2. Creative Marketing Solutions Launches My Hometown Vet, Giving Veterinary Practices Better Visibility Online
3. RadioShack Helps Raise $1.5 Million for St. Jude Childrens Research Hospital(R) Fifth-Annual Thanks and Giving(R) Campaign
4. Michigan Dentists Giving Free Dental Care to Low-Income Children During Annual Give Kids a Smile Program Starting February 6
5. CVS/pharmacy Announces National Contest for Stories of Extraordinary Caregiving
6. AHP Recession Survey of Nonprofit Health Care Officials Finds Almost Half Expect Reduced Giving in 2009, Leading to Cuts in Hospital Construction and Equipment Purchases
7. Caution Urged When Giving Kids Cold and Flu Meds
8. Caregiving May Lengthen Life
9. NYPD Recruits Recognized for Giving Gift of Life
10. Ronald McDonald House Charities Brings People Together Like Never Before with First-Ever, Multi-Channel Social Networking Campaign : Charity Finds New Ways to Encourage Seasonal Giving in Tough Economic Times
11. Economy Doesnt Dampen Colorados Giving Spirit According to Statewide Giving and Volunteering Study
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... ... October 13, 2017 , ... ProVest Insurance Group, a family ... and Raleigh regions, is organizing an extended charity drive to benefit the family ... abnormality. , After struggling since birth with several health challenges, T.J. was later ...
(Date:10/13/2017)... ... October 13, 2017 , ... The International Association ... standards of excellence for the field of eating disorders, announces the opening of ... 2018 in Orlando, Florida at the Omni Resort at ChampionsGate. , ...
(Date:10/13/2017)... ... October 13, 2017 , ... Many families have long-term insurance that covers care ... have a waiver for care if the client has a cognitive impairment diagnosis. ... for care, is often waived, so the benefits from their insurance start immediately,” said ...
(Date:10/13/2017)... ... October 13, 2017 , ... ... viewers the lowdown on sciatica in a new episode of "Success Files," which ... current events and innovation and investigates each subject in-depth with passion and integrity. ...
(Date:10/12/2017)... , ... October 12, 2017 , ... ... now treating sleep apnea using cutting-edge Oventus O2Vent technology. As many ... sleep disorder characterized by frequent cessation in breathing. Oral appliances can offer significant ...
Breaking Medicine News(10 mins):
(Date:9/22/2017)... -- AVACEN Medical (AVACEN) announced that its CE-Marked AVACEN ... with the widespread pain associated with fibromyalgia in the ... Essex, England commented, "I had difficulty ... sleep at all, tremendous pain, with every movement sending ... AVACEN 100] enough, how this has and is helping ...
(Date:9/18/2017)... 2017 EpiVax, Inc. ("EpiVax") a ... immune engineering, today announced a new NIH-funded ... ... and presents a challenge for traditional flu ... be effective. Using state-of-the-art bioinformatics and molecular modeling methods, ...
(Date:9/12/2017)... SAN FRANCISCO , Sept. 12, 2017 /PRNewswire/ ... Lifecycle Management Solutions (VLMS), is pleased to announce ... as a member of its Board of Directors ... 2017. ValGenesis VLMS enables life science companies to ... eliminate the use of paper in this process. ...
Breaking Medicine Technology: