Factors affecting physicians compliance with enrollment suggestions into a clinical reminders intervention

Geva Vashitz*, Joachim Meyer, Yisrael Parmet, Niki Liebermann, Harel Gilutz

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

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.

Original languageEnglish
Title of host publicationMedinfo 2010 - Proceedings of the 13th World Congress on Medical Informatics
PublisherIOS Press
Pages796-800
Number of pages5
EditionPART 1
ISBN (Print)9781607505877
DOIs
StatePublished - 2010
Externally publishedYes
Event13th World Congress on Medical and Health Informatics, Medinfo 2010 - Cape Town, South Africa
Duration: 12 Sep 201015 Sep 2010

Publication series

NameStudies in Health Technology and Informatics
NumberPART 1
Volume160
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365

Conference

Conference13th World Congress on Medical and Health Informatics, Medinfo 2010
Country/TerritorySouth Africa
CityCape Town
Period12/09/1015/09/10

Keywords

  • Clinical decision support systems
  • Guideline adherence
  • Reminder systems
  • User-computer interface

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