Document Detail


Effectiveness of the electronic medical record in improving the management of hypertension.
MedLine Citation:
PMID:  12461305     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Clinical studies suggest that hypertension is often undiagnosed, undertreated, and poorly controlled. In 1997, the authors developed a comprehensive electronic medical record that interfaces with physicians during each outpatient visit and provides real-time feedback about patient care management, including the management of hypertension. The purpose of this study was to determine whether this interactive electronic medical record results in better detection and control of hypertension. During a 12-month study period, consecutive outpatients (n=1076) were seen for routine follow-up; patient care documentation relied solely on the electronic medical record. Quality indicators for hypertension included: 1) documentation of the diagnosis of hypertension; 2) use of blood pressure-lowering drugs; and 3) successful blood pressure lowering to < or =140/90 mm Hg. The authors compared the hypertension management of these patients to a control group of similar patients (n=723) with medical records consisting solely of traditional pen and paper charts. Baseline characteristics were similar between the two groups, including the prevalence of hypertension (73% vs. 70%; p=NS). However, the electronic medical record resulted in higher documentation rates of hypertension (90% vs. 77%; p<0.001), greater use of antihypertensive therapy (94% vs. 90%; p<0.01), and more successful blood pressure lowering to < or =140/90 mm Hg (54% vs. 28%; p<0.001). In conclusion, the electronic medical record with real-time feedback improves the physicians ability to detect, treat, and control hypertension.
Authors:
James W Kinn; Joseph C Marek; Michael F O'Toole; Stephen M Rowley; Vincent J Bufalino
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of clinical hypertension (Greenwich, Conn.)     Volume:  4     ISSN:  1524-6175     ISO Abbreviation:  J Clin Hypertens (Greenwich)     Publication Date:    2002 Nov-Dec
Date Detail:
Created Date:  2002-12-03     Completed Date:  2003-04-03     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  100888554     Medline TA:  J Clin Hypertens (Greenwich)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  415-9     Citation Subset:  IM    
Copyright Information:
Copyright 2002 Le Jacq Communications, Inc.
Affiliation:
Midwest Heart Specialists, Ltd., Downers Grove, IL 60515, USA. jkinn@midwestheart.com
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MeSH Terms
Descriptor/Qualifier:
Antihypertensive Agents / therapeutic use
Chi-Square Distribution
Feedback
Humans
Hypertension / prevention & control*
Medical Records Systems, Computerized*
Quality Assurance, Health Care*
Chemical
Reg. No./Substance:
0/Antihypertensive Agents
Comments/Corrections
Comment In:
J Clin Hypertens (Greenwich). 2002 Nov-Dec;4(6):413-4   [PMID:  12461304 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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