5-year evaluation of electronic medical record flag alerts for patients warranting secondary prevention of coronary heart disease

Pharmacotherapy
Heather P WhitleyElinor C G Chumney

Abstract

To assess the effect of flag alerts that were placed in electronic medical records on patients' adherence with National Cholesterol Education Program (NCEP) guidelines for secondary prevention of coronary heart disease. A secondary objective was to identify the proportion of patients who were prescribed lipid-lowering agents and assess the barriers of patients who did not reach low-density lipoprotein cholesterol (LDL) goals 5.6 years after the intervention. Retrospective analysis of a prospective medical record intervention. University-based primary care clinic. Eighty-nine adult patients with atherosclerotic vascular disease. For each patient identified as needing secondary prevention for coronary heart disease according to NCEP guidelines, flags were inserted into the patient's electronic medical record. Baseline patient data were collected. After 5.6 years, we performed a retrospective analysis. At that time, 72 patients were evaluated; 17 were lost to follow-up. Fifty-four percent of patients (39 of 72 patients) had reached their LDL goal compared with 25% (16 of 64 patients for whom complete lipid panels had been obtained) at baseline (p=0.001). The proportion of patients prescribed lipid-lowering agents rose from 16% at ...Continue Reading

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Citations

Jun 9, 2012·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Heather D EdwardsBecky L Armor
May 15, 2008·The American Journal of Gastroenterology·Gregory A CotéColin W Howden

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