Choosing Wisely clinical decision support adherence and associated inpatient outcomes.

ABSTRACT:

Objectives

To determine whether utilization of clinical decision support (CDS) is correlated with improved patient clinical and financial outcomes.

Study design

Observational study of 26,424 patient encounters. In the treatment group, the provider adhered to all CDS recommendations. In the control group, the provider did not adhere to CDS recommendations.

Methods

An observational study of provider adherence to a CDS system was conducted using inpatient encounters spanning 3 years. Data comprised alert status (adherence), provider type (resident, attending), patient demographics, clinical outcomes, Medicare status, and diagnosis information. We assessed the associations between alert adherence and 4 outcome measures: encounter length of stay, odds of 30-day readmission

SUBMITTER: Heekin AM 

PROVIDER: S-EPMC6813785 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature