Physicians' Perspectives on a Best Practice Alert to Improve Guideline-Directed Medical Therapy in Heart Failure.

ABSTRACT:

Background

Mineralocorticoid receptor antagonists (MRAs) are disease-modifying agents indicated for heart failure (HF) that can augment diuresis and treat hypokalemia but are underutilized. Prescribing MRAs instead of potassium supplements to treat hypokalemia in the setting of HF could increase the use of MRAs. A best practice alert (BPA) in the electronic medical record that suggests ordering an MRA instead of potassium supplementation for a HF patient with hypokalemia could facilitate this.

Objectives

This study sought to examine perspectives of primary care physicians on MRA utilization and BPA usefulness and to develop a novel conceptual model for guiding future BPA development.

Methods

We conducted one-on-one semistructured interviews with primary care physician

SUBMITTER: Zhang DT 

PROVIDER: S-EPMC11994041 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature