ArticleAnnals of emergency medicine2015
Implementation of Computerized Physician Order Entry Is Associated With Increased Thrombolytic Administration for Emergency Department Patients With Acute Ischemic Stroke.
Article in Annals of emergency medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed, 17 citations in OpenAlex.
- Electronic display of a patient treatment over time: a perspective on clinicians' burn-out.BMJ health & care informatics · 2021Article
- Quality improvement and practice-based research in sleep medicine using structured clinical documentation in the electronic medical record.Sleep science and practice · 2020Article
- Integrity of clinical information in computerized order requisitions for diagnostic imaging.Journal of the American Medical Informatics Association : JAMIA · 2018Article
- An evaluation of clinical order patterns machine-learned from clinician cohorts stratified by patient mortality outcomes.Journal of biomedical informatics · 2018Article
- Using Stroke Order Sets to Improve Compliance With Quality Measures for Ischemic Stroke Admissions.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2018Article
- Inpatient Clinical Order Patterns Machine-Learned From Teaching Versus Attending-Only Medical Services.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2018Article
- Before-After Study of an Electronic Order Set for Reversal of Vitamin K Antagonist-Associated Intracerebral Hemorrhage.The Neurohospitalist · 2018Article
- Decaying relevance of clinical data towards future decisions in data-driven inpatient clinical order sets.International journal of medical informatics · 2017Article
- Predicting inpatient clinical order patterns with probabilistic topic models vs conventional order sets.Journal of the American Medical Informatics Association : JAMIA · 2017Article
- Optimizing Clinical Decision Support in the Electronic Health Record. Clinical Characteristics Associated with the Use of a Decision Tool for Disposition of ED Patients with Pulmonary Embolism.Applied clinical informatics · 2016Article
Corrections and comments
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Authors and funding
12 authors at 7 institutions in 1 country.
Funding
Abstract
STUDY
objectiveElectronic health record systems with computerized physician order entry and condition-specific order sets are intended to standardize patient management and minimize errors of omission. However, the effect of these systems on disease-specific process measures and patient outcomes is not well established. We seek to evaluate the effect of computerized physician order entry electronic health record implementation on process measures and short-term health outcomes for patients hospitalized with acute ischemic stroke.
methodsWe conducted a quasi-experimental cohort study of patients hospitalized for acute ischemic stroke with concurrent controls that took advantage of the staggered implementation of a comprehensive computerized physician order entry electronic health record across 16 medical centers within an integrated health care delivery system from 2007 to 2012. The study population included all patients admitted to the hospital from the emergency department (ED) for acute ischemic stroke, with an initial neuroimaging study within 2.5 hours of ED arrival. We evaluated the association between the availability of a computerized physician order entry electronic health record and the rates of ED intravenous tissue plasminogen activator administration, hospital-acquired pneumonia, and inhospital and 90-day mortality, using doubly robust estimation models to adjust for demographics, comorbidities, secular trends, and concurrent primary stroke center certification status at each center.
resultsOf 10,081 eligible patients, 6,686 (66.3%) were treated in centers after the computerized physician order entry electronic health record had been implemented. Computerized physician order entry was associated with significantly higher rates of intravenous tissue plasminogen activator administration (rate difference 3.4%; 95% confidence interval 0.8% to 6.0%) but not with significant rate differences in pneumonia or mortality.
conclusionFor patients hospitalized for acute ischemic stroke, computerized physician order entry use was associated with increased use of intravenous tissue plasminogen activator.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.