American Heart Journal
Volume 151, Issue 3 , Pages 643-653 , March 2006

Improved compliance with quality measures at hospital discharge with a computerized physician order entry system

  • Javed Butler, MD, MPH

      Affiliations

    • Department of Medicine, Cardiology Division, Vanderbilt University, Nashville VAMC, Nashville, TN
    • Center for Health Services Research, Vanderbilt University, Nashville VAMC, Nashville, TN
    • Center for Education and Research in Therapeutics, Nashville VAMC, Nashville, Tenn
    • Corresponding Author InformationReprint requests: Javed Butler, MD, Cardiology Division, 383-PRB, Vanderbilt University Medical Center, Nashville, TN 37232-6300.
    • ,
  • Theodore Speroff, PhD

      Affiliations

    • Center for Health Services Research, Vanderbilt University, Nashville VAMC, Nashville, TN
    • Geriatrics Research, Education, and Clinical Center, Nashville VAMC, Nashville, TN
    • Tennessee Valley Health Services Research Center, Tennessee Valley Health Care System, Nashville VAMC, Nashville, TN
    • ,
  • Patrick G. Arbogast, PhD

      Affiliations

    • Department of Biostatistics, Vanderbilt University, Nashville VAMC, Nashville, TN
    • Department of Preventive Medicine, VanderbiltUniversity, Nashville VAMC, Nashville, TN
    • Center for Education and Research in Therapeutics, Nashville VAMC, Nashville, Tenn
    • ,
  • Martha Newton, MS

      Affiliations

    • Center for Clinical Improvement, Vanderbilt University, Nashville VAMC, Nashville, TN
    • ,
  • Lemuel R. Waitman, PhD

      Affiliations

    • Department of Biomedical Informatics, Vanderbilt University, Nashville VAMC, Nashville, TN
    • ,
  • Renee Stiles, PhD

      Affiliations

    • Center for Clinical Improvement, Vanderbilt University, Nashville VAMC, Nashville, TN
    • Geriatrics Research, Education, and Clinical Center, Nashville VAMC, Nashville, TN
    • Tennessee Valley Health Services Research Center, Tennessee Valley Health Care System, Nashville VAMC, Nashville, TN
    • ,
  • Randolph A. Miller, MD

      Affiliations

    • Department of Biomedical Informatics, Vanderbilt University, Nashville VAMC, Nashville, TN
    • ,
  • Wayne Ray, PhD

      Affiliations

    • Center for Health Services Research, Vanderbilt University, Nashville VAMC, Nashville, TN
    • Department of Preventive Medicine, VanderbiltUniversity, Nashville VAMC, Nashville, TN
    • Center for Education and Research in Therapeutics, Nashville VAMC, Nashville, Tenn
    • Geriatrics Research, Education, and Clinical Center, Nashville VAMC, Nashville, TN
    • Tennessee Valley Health Services Research Center, Tennessee Valley Health Care System, Nashville VAMC, Nashville, TN
    • ,
  • Marie R. Griffin, MD, MPH

      Affiliations

    • Center for Health Services Research, Vanderbilt University, Nashville VAMC, Nashville, TN
    • Department of Preventive Medicine, VanderbiltUniversity, Nashville VAMC, Nashville, TN
    • Center for Education and Research in Therapeutics, Nashville VAMC, Nashville, Tenn
    • Geriatrics Research, Education, and Clinical Center, Nashville VAMC, Nashville, TN
    • Tennessee Valley Health Services Research Center, Tennessee Valley Health Care System, Nashville VAMC, Nashville, TN

Received 13 November 2004 ,Accepted 9 May 2005.

References 

  1. Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century. Washington (DC): National Academy Press; 2000;
  2. Institute of Medicine. To err is human: building a safer health system. Washington (DC): National Academy Press; 1999;
  3. Jencks SF, Cuerdon T, Burwen D, et al. Quality of medical care delivered to Medicare beneficiaries: a profile at state and national levels. JAMA. 2000;284:1670–1676
  4. Hospital quality information initiative. Available at: http://www.cms.hhs.gov/quality/hospital[accessed June 16, 2003]
  5. Health Grades. The healthcare quality experts. Available at: http://www. healthgrades.com[accessed December 24, 2003]
  6. US News. Available at: http://www.usnews.com/usnews/health/hehome.htm[accessed December 24, 2003]
  7. Joint Commission for Accreditation of Healthcare Organizations—Performance Measures. Available at: http://www.jcaho.org/pms/core+measures/cr_hos_cm.htm[accessed December 24, 2003]
  8. Quality improvement organizations: statement of work. Available at: http://cms.hhs.gov/qio/2.asp[accessed June 16, 2003]
  9. Butler J, Arbogast PG, Belue R, et al. Outpatient adherence to beta-blocker therapy after acute myocardial infarction. J Am Coll Cardiol. 2002;40:1589–1595
  10. Butler J, Arbogast PG, Daugherty J, et al. Outpatient utilization of angiotensin converting enzyme inhibitors among heart failure patients after hospital discharge. J Card Fail. 2003;9:S77
  11. Kuperman GJ, Gibson RF. Computer physician order entry: benefits, costs, and issues. Ann Intern Med. 2003;139:31–39
  12. Jencks SF, Huff ED, Cuerdon T. Change in the quality of care delivered to Medicare beneficiaries, 1998-1999 to 2000-2001. JAMA. 2003;289:305–312
  13. Bradley EH, Holmboe ES, Wang Y, et al. What are hospitals doing to increase beta-blocker use?. Joint Comm J Quality Saf. 2003;29:409–415
  14. Bates DW, Leape LL, Cullen DJ, et al. Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. JAMA. 1998;280:1311–1316
  15. Potts A, Barr FE, Gregory DF, et al. Computerized physician order entry and medications errors in a pediatric critical care unit. Pediatrics. 2004;113:59–63
  16. Evans RS, Pestotnik SL, Classen DC, et al. A computer assisted management program for antibiotics and other anti-infective agents. N Engl J Med. 1998;338:232–238
  17. Tierney WM, Miller ME, Overhage JM, et al. Physician inpatient order writing on microcomputer workstations: effects on resource utilization. JAMA. 1993;269:379–383
  18. Mekhjian HS, Kumar RR, Kuehn L, et al. Immediate benefits realized following implementation of physician order entry at an academic medical center. J Am Med Inform Assoc. 2002;9:529–539
  19. Tierney WM, Overhage JM, Murray MD, et al. Effects of computerized guidelines for managing heart disease in primary care. A randomized control trial. J Gen Intern Med. 2003;18:967–976
  20. The Leapfrog Group for Patient Safety. Rewarding higher standards. Available at: http://www.leapfroggroup.org/safety1.htm#CPOE[accessed December 26, 2003]
  21. Bradley EH, Holmboe ES, Mattera JA, et al. A qualitative study of increasing beta-blocker use after myocardial infarction: why do some hospitals succeed?. JAMA. 2001;285:2604–2611
  22. Phillips KA, Shlipak MG, Coxson P, et al. Health and economic benefits of increased beta-blocker use following myocardial infarction. JAMA. 2000;284:2748–2754

PII: S0002-8703(05)00502-8

doi: 10.1016/j.ahj.2005.05.007

American Heart Journal
Volume 151, Issue 3 , Pages 643-653 , March 2006

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