Effectiveness and usage of a decision support system to improve stroke prevention in general practice: A cluster randomized controlled trial.

ABSTRACT:

Background

Adherence to guidelines pertaining to stroke prevention in patients with atrial fibrillation is poor. Decision support systems have shown promise in increasing guideline adherence.

Aims

To improve guideline adherence with a non-obtrusive clinical decision support system integrated in the workflow. Secondly, we seek to capture reasons for guideline non-adherence.

Design and setting

A cluster randomized controlled trial in Dutch general practices.

Method

A decision support system was developed that implemented properties positively associated with effectiveness: real-time, non-interruptive and based on data from electronic health records. Recommendations were based on the Dutch general practitioners guideline for atrial fibrillation that uses the CHA2D

SUBMITTER: Arts DL 

PROVIDER: S-EPMC5330455 | biostudies-literature | 2017

REPOSITORIES: biostudies-literature