Effect of clinical-decision support on documentation compliance in an electronic medical record

Obstetrics and Gynecology

Volumn 114, Issue 2, 2009, Pages 311-317

  Haberman, Shoshana ^a   Feldman, Joseph ^a   Merhi, Zaher O ^a   Markenson, Glenn ^a   Cohen, Wayne ^a   Minkoff, Howard ^a  

^a North Bronx Healthcare Network   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ACCURACY; ARTICLE; CLINICAL DECISION MAKING; CONTROLLED STUDY; ELECTRONIC MEDICAL RECORD; FEMALE; FETUS WEIGHT; HOSPITAL; HUMAN; LABOR INDUCTION; MAJOR CLINICAL STUDY; MEDICAL DOCUMENTATION; METHODOLOGY; OBSTETRICS; PRIORITY JOURNAL;

DECISION SUPPORT SYSTEMS, CLINICAL; DOCUMENTATION; FEMALE; FETAL WEIGHT; HUMANS; LABOR, INDUCED; MEDICAL RECORDS SYSTEMS, COMPUTERIZED; OBSTETRICS; PREGNANCY; PROSPECTIVE STUDIES;

EID: 68949126874     PISSN: 00297844     EISSN: 1873233X     Source Type: Journal    
DOI: 10.1097/AOG.0b013e3181af2cb0     Document Type: Article

References (20)

1. Bates DW, Cohen M, Leape LL, Overhage JM, Shabot MM, Sheridan T. Reducing the frequency of errors in medicine using information technology. J Am Med Inform Assoc 2001;8:299-308.
2. Balas EA, Weingarten S, Garb CT, Blumenthal D, Boren SA, Brown GD. Improving preventive care by prompting physicians. Arch Intern Med 2000;160:301-8.
3. Kuperman GJ, Teich JM, Gandhi TK, Bates DW. Patient safety and computerized medication ordering at Brigham and Women's Hospital. Jt Comm J Qual Improv 2001;27:509-21.
4. Bates DW, Leape LL, Cullen DJ, Laird N, Petersen LA, Teich JM, et al. Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. JAMA 1998;280:1311-6.
5. Bates DW. Using information technology to reduce rates of medication errors in hospitals. BMJ 2000;320:788-91.
6. Evans RS, Pestotnik SL, Classen DC, Clemmer TP, Weaver LK, Orme JF, et al. A computer-assisted management program for antibiotics and other antinduction indication infective agents. N Engl J Med 1998;338:232-8.
7. Tierney WM, Overhage JM, Murray MD, Harris LE, Zhou XH, Eckert GJ, et al. Can computer-generated evidence-based care suggestions enhance evidence-based management of asthma and chronic obstructive pulmonary disease? A randomized, controlled trial. Health Serv Res 2005;40:477-97.
8. Murray MD, Harris LE, Overhage JM, Zhou XH, Eckert GJ, Smith FE, et al. Failure of computerized treatment suggestions to improve health outcomes of outpatients with uncomplicated hypertension: results of a randomized controlled trial. Pharmacotherapy 2004;24:324-37.
9. Classen DC, Pestotnik SL, Evans RS, Burke JP. Computerized surveillance of adverse drug events in hospital patients. JAMA 1991;266:2847-51.
10. Mulvehill S, Schneider G, Cullen CM, Roaten S, Foster B, Porter A. Template-guided versus undirected written medical documentation: a prospective. Randomized trial in a family medicine residency clinic. J Am Board Fam Pract 2005;18:464-9.
11. Oniki TA, Clemmer TP, Pryor TA. The Effect of computer-generated reminders on charting deficiencies in the ICU. J Am Med Inform Assoc 2003;10:177-87.
12. Kheterpal S, Gupta R, Blum JM, Tremper KK, O'Reilly M, Kazanjian PE. Electronic reminders improve procedure documentation compliance and professional fee reimbursement. Anesth Analg 2007;104:592-7.
13. Cannon DS, Allen SN. A comparison of the effects of computer and manual reminders on compliance with a mental health clinical practice guidelines. J Am Med Inform Assoc 2000;7:196-203.
14. Menke J, Broner C, Campbell D, McKissick M, Edwards-Beckett J. Computerized clinical documentation system in the pediatric intensive care unit. BMC Med Inform Decis Mak 2001;1:3.
15. Haberman S, Rotas M, Perlman K, Feldman JG. Variations in compliance with documentation using computerized obstetrical records. Obstet Gynecol 2007;110:141-5.
16. Cabana MD, Rand CS, Powe NR, Wu AW, Wilson MH, Abboud PAC, et al. Why don't physicians follow clinical practice guidelines? A framework for improvement. JAMA 1999;282:1458-65.
17. Official Compilation of Codes, Rules and Regulations of the State of New York [cited 2007 07/11]; Page 18. Availableat: . Retrieved February 24, 2009.
18. Revisions to Massachusetts Perinatal Licensure Regulations. 2005 [cited 2007 07/11]; Page 49. Available at: . Retrieved February 24, 2009.
19. Rosenbloom ST, Chiu K-W, Byrne DW, Talbert DA, Neilson EG, Miller RA. Interventions to regulate ordering of serum magnesium levels: report of an unintended consequence of decision support. J Am Med Inform Assoc 2005;12:546-53.
20. Saleem JJ, Patterson ES, Militello L, Render ML, Orshansky G, Asch SM. Exploring barriers and facilitators to the use of computerized clinical reminders. J Am Med Inform Assoc 2005;12:438-47.