Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Where We Are Indexed
Past Issue Archives
Clinical Communication
In Review
Editorial Board
Information for Authors
Author Form

Reprints, Permissions, & Copyright
Site Map
BACK ISSUE articles are $15 each.
International credit cards NOT accepted.

JCOM Paid Subscribers
user name:
Forgot password?

JCOM Abstract

J Clin Outcomes Manage 
2011 Dec;18(12):551-555
Impact of an EMR clinical decision support tool on lipid management
Kelly E, Wasser T, Fraga JD, Scheirer JJ, Alweis RL

ABSTRACT: Objective: To determine if an electronic medical record (EMR) clinical decision support tool was effective as a method for improving the management of hyperlipidemia. Methods: Retrospective chart review in randomly selected patients aged 50 to 75 years old with lipid measurements, stratified by whether or not they had been assigned an LDL goal using the EMR tool. Changes in patientsí lipid values were assessed as follows: For the tool group (n = 100), lipid results immediately prior to setting lipid goals and the sub-sequent lipid results were used. For the no-tool group (n = 100), the first and second lipid results available in the EMR were used. Paired t tests were used to determine the impact of the tool on achieving lipid goals. Group t tests were performed to compare baseline characteristics. Results: Patients who were not at their LDL goal at baseline had significant reductions in both total cholesterol and LDL levels, regardless of tool use (both p < 0.05) and improvement in achievement of LDL goals (72% to 77% in no-tool group; 41% to 57% in tool group; p < 0.001). 50.0% (no-tool group) and 40.7% (tool group) of patients not at goal initially achieved target LDL, but the difference was nonsignificant (p = 0.413). Conclusions: Use of the EMR tool did not lead to an improvement in achieving lipid goals as compared with not using the tool. Since this echoes other recent findings, the cost and effectiveness of this tool should be re-evaluated

Original Research

Search the Turner White index to find abstracts of articles published in JCOM.

New issues are posted one month following publication of the printed journal.

View past issue archives:    2013    2012    2011    2010    2009    2008    2007
   2006    2005    2004    2003     2002     2001     2000     1999

Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2014, Turner White Communications
Updated 1/20/14 • jdw