Title
Factors affecting physicians compliance with enrollment suggestions into a clinical reminders intervention.
Abstract
Clinical reminders can promote adherence with evidence-based clinical guidelines, but they may also have unintended consequences such as alert fatigue, false alarms and increased workload, which cause clinicians to ignore them. The described clinical reminder system identifies patients eligible for primary prevention of cardiovascular diseases and lets the physician to choose which patients will be included in the reminders intervention. We analyzed data of 87,165 visits of 35,699 patients and evaluated factors which may affect clinicians' decision to enroll patients to the intervention. The physicians included most of the patients suggested for inclusion (85.7%). Yet, they skipped the enrollment suggestion in 62.6% of the visits. Patients with a cardiovascular disease, dyslipidemia, diabetes, or hypertension were more likely to be included in the intervention, while older patients were less likely to be included. Insights regarding the usability of clinical reminders are discussed.
Year
DOI
Venue
2010
10.3233/978-1-60750-588-4-796
Studies in Health Technology and Informatics
Keywords
Field
DocType
Guideline adherence,Clinical decision support systems,Reminder systems,User-computer interface
Family medicine,Medical emergency,Medicine
Conference
Volume
Issue
ISSN
160
Pt 2
0926-9630
Citations 
PageRank 
References 
1
0.49
0
Authors
5
Name
Order
Citations
PageRank
Geva Vashitz1132.58
Joachim Meyer237641.28
Yisrael Parmet340.97
Niki Liebermann410.49
Harel Gilutz5121.87