The Impact of Guideline Integration into Electronic Medical Records on Outcomes for Patients with Diabetes: A Systematic Review.

Diabetes Mellitus / therapy Electronic Health Records Humans Practice Guidelines as Topic Treatment Outcome
Clinical practice guideline Diabetes Electronic medical record Systematic review

Journal

The American journal of medicine
ISSN: 1555-7162
Titre abrégé: Am J Med
Pays: United States
ID NLM: 0267200

Informations de publication

Date de publication:
08 2021
Historique:
received: 20 09 2020
revised: 21 10 2020
accepted: 17 03 2021
pubmed: 30 3 2021
medline: 3 9 2021
entrez: 29 3 2021
Statut: ppublish

Résumé

Optimal strategies for integration of clinical practice guidelines into electronic medical records and its impact on processes of care and clinical outcomes in diabetic patients are not well understood. A systematic review of CINAHL, MEDLINE, PubMed, and Cochrane Library databases in August 2016, November 2017, and June 2020 was conducted. Studies investigating integration of diabetes guidelines into ambulatory care electronic medical records reporting quantitative results were included. After screening 15,783 records, 21 articles were included. Lipid and blood pressure control consistently improved with guideline integration, but A1c control remained equivocal. Electronic guideline integration improved microvascular complication screening, vaccination, and documentation of cardiovascular risk factors, while medication prescription and blood pressure, lipid, and A1c documentation did not improve. Studies employing a combination of electronic record intervention strategies were associated with improvement in monitoring and attainment of guideline and screening targets. Thus, strategies employing combinations of interventions to incorporate guidelines into electronic records may improve processes of care and some clinical outcomes.

Identifiants

DOI: 10.1016/j.amjmed.2021.03.004 PMID: 33775644
pubmed: 33775644
pii: S0002-9343(21)00158-3
doi: 10.1016/j.amjmed.2021.03.004
pii:
doi:

Types de publication

Journal Article Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

952-962.e4

Informations de copyright

Copyright © 2021 Elsevier Inc. All rights reserved.

Auteurs

Sapna Shah (S)

Department of Medicine; Faculty of Medicine, University of Toronto, Ont, Canada.

Ariel Yeheskel (A)

Department of Medicine; Faculty of Medicine, University of Toronto, Ont, Canada.

Abrar Hossain (A)

Department of Pediatrics, University of British Columbia, Vancouver, Canada.

Jenessa Kerr (J)

Department of Pediatrics, University of Calgary, Alb, Canada.

Kelsey Young (K)

Diabetes Canada, Toronto, Ont, Canada.

Sharara Shakik (S)

Cancer Care Ontario, Toronto, Ont, Canada.

Jennica Nichols (J)

Faculty of Graduate and Postdoctoral Studies, University of British Columbia, Vancouver, Canada.

Catherine Yu (C)

Department of Medicine; Faculty of Medicine, University of Toronto, Ont, Canada; Dalla Lana School of Public Health; University of Toronto, Ont, Canada. Electronic address: Catherine.yu@unityhealth.to.

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Classifications MeSH

questionsmedicales.fr › Maladies endocriniennes › Diabète › The Impact of Guideline Integration into...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Documents › Dossiers médicaux › Systèmes informatisés de dossiers médicaux › Dossiers médicaux électroniques › The Impact of Guideline Integration into...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › The Impact of Guideline Integration into...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Assurance de la qualité des soins de santé › Recommandations comme sujet › Guides de bonnes pratiques cliniques comme sujet › The Impact of Guideline Integration into...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Mécanismes d'évaluation des soins de santé › Évaluation des résultats et des processus en soins de santé › Évaluation de résultat (soins) › Résultat thérapeutique › The Impact of Guideline Integration into...