Osteoporosis;
quality improvement;
electronic medical record;
clinical support tool;
clinical decision support systems;
SUPPORT TOOLS;
HIP FRACTURE;
MANAGEMENT;
DIAGNOSIS;
D O I:
10.1016/j.jamda.2020.06.023
中图分类号:
R592 [老年病学];
C [社会科学总论];
学科分类号:
03 ;
0303 ;
100203 ;
摘要:
Despite the high prevalence and devastating outcomes associated with osteoporotic fractures, they are not well investigated or treated. We developed an electronic Osteoporosis and Falls Assessment Form for integration within electronic medical records (EMR) with the aim to improve osteoporosis-related care in family practice. We examined usage and collected usability feedback from 37 physicians. A medical record review was used to assess tool usage over a 6-month period after which all participants completed a survey to assess their perceptions of the tool. The tool was used at least once by 22 (59%) physicians with 119 patients. Most users reported that it enhanced their practice (64%) and they intended to use it in the future (71%). Time constraints, complexity, and requirements to manually enter sections were identified as barriers to use. Lessons learned will inform improvements, which, given the perceived value of this tool, will likely improve uptake. (C) 2020 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
机构:
UMass Mem Hlth Care, 55 Lake Ave North, Worcester, MA 01655 USA
Univ Massachusetts, Chan Med Sch, Worcester, MA USAUMass Mem Hlth Care, 55 Lake Ave North, Worcester, MA 01655 USA
Nagpal, Vandana
Vlass, Emily
论文数: 0引用数: 0
h-index: 0
机构:
UMass Mem Hlth Care, 55 Lake Ave North, Worcester, MA 01655 USA
Univ Massachusetts, Chan Med Sch, Worcester, MA USAUMass Mem Hlth Care, 55 Lake Ave North, Worcester, MA 01655 USA
机构:
Univ Toronto, Toronto, ON, CanadaUniv Toronto, Toronto, ON, Canada
Bartsch, Emily
Park, Alison L.
论文数: 0引用数: 0
h-index: 0
机构:
Inst Clin Evaluat Sci, Toronto, ON, CanadaUniv Toronto, Toronto, ON, Canada
Park, Alison L.
Young, Jacqueline
论文数: 0引用数: 0
h-index: 0
机构:
Inst Clin Evaluat Sci, Toronto, ON, CanadaUniv Toronto, Toronto, ON, Canada
Young, Jacqueline
Ray, Joel G.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Toronto, St Michaels Hosp, Dept Med, Toronto, ON, Canada
Univ Toronto, St Michaels Hosp, Dept Hlth Policy Management & Evaluat, Toronto, ON, Canada
Univ Toronto, St Michaels Hosp, Dept Obstet & Gynecol, Toronto, ON, CanadaUniv Toronto, Toronto, ON, Canada
Ray, Joel G.
Tu, Karen
论文数: 0引用数: 0
h-index: 0
机构:
Univ Toronto, Toronto Western Hosp Family Hlth Team, Dept Family & Community Med, Toronto, ON, Canada
Univ Toronto, Toronto Western Hosp Family Hlth Team, Hlth Policy Management & Evaluat, Toronto, ON, CanadaUniv Toronto, Toronto, ON, Canada
机构:
New York Presbyterian Hosp, Weill Cornell Med Coll, Div Gastroenterol & Hepatol, New York, NY USA
Arun Jesudian 1305 York Ave,4th Floor, New York, NY 10021 USANew York Presbyterian Hosp, Weill Cornell Med Coll, Div Gastroenterol & Hepatol, New York, NY USA
Sherman, Zachary
Wahid, Nabeel
论文数: 0引用数: 0
h-index: 0
机构:
Mem Sloan Kettering Canc Ctr, Dept Med Phys, New York, NY USANew York Presbyterian Hosp, Weill Cornell Med Coll, Div Gastroenterol & Hepatol, New York, NY USA
Wahid, Nabeel
Wagner, Michael
论文数: 0引用数: 0
h-index: 0
机构:
Mem Sloan Kettering Canc Ctr, Dept Med Phys, New York, NY USANew York Presbyterian Hosp, Weill Cornell Med Coll, Div Gastroenterol & Hepatol, New York, NY USA
Wagner, Michael
Soltani, Amin
论文数: 0引用数: 0
h-index: 0
机构:
Massachusetts Gen Hosp, Div Gastroenterol, Boston, MA USANew York Presbyterian Hosp, Weill Cornell Med Coll, Div Gastroenterol & Hepatol, New York, NY USA
Soltani, Amin
Rosenblatt, Russell
论文数: 0引用数: 0
h-index: 0
机构:
NewYork Presbyterian Hosp, Weill Cornell Med Coll, Ctr Liver Dis & Transplantat, New York, NY USANew York Presbyterian Hosp, Weill Cornell Med Coll, Div Gastroenterol & Hepatol, New York, NY USA
Rosenblatt, Russell
Fortune, Brett
论文数: 0引用数: 0
h-index: 0
机构:
NewYork Presbyterian Hosp, Weill Cornell Med Coll, Ctr Liver Dis & Transplantat, New York, NY USANew York Presbyterian Hosp, Weill Cornell Med Coll, Div Gastroenterol & Hepatol, New York, NY USA
Fortune, Brett
Lucero, Catherine
论文数: 0引用数: 0
h-index: 0
机构:
NewYork Presbyterian Hosp, Weill Cornell Med Coll, Ctr Liver Dis & Transplantat, New York, NY USANew York Presbyterian Hosp, Weill Cornell Med Coll, Div Gastroenterol & Hepatol, New York, NY USA
Lucero, Catherine
Schoenfeld, Emily
论文数: 0引用数: 0
h-index: 0
机构:
NewYork Presbyterian Hosp, Weill Cornell Med Coll, Ctr Liver Dis & Transplantat, New York, NY USANew York Presbyterian Hosp, Weill Cornell Med Coll, Div Gastroenterol & Hepatol, New York, NY USA
Schoenfeld, Emily
Brown, Robert
论文数: 0引用数: 0
h-index: 0
机构:
NewYork Presbyterian Hosp, Weill Cornell Med Coll, Ctr Liver Dis & Transplantat, New York, NY USANew York Presbyterian Hosp, Weill Cornell Med Coll, Div Gastroenterol & Hepatol, New York, NY USA
Brown, Robert
Jesudian, Arun
论文数: 0引用数: 0
h-index: 0
机构:
NewYork Presbyterian Hosp, Weill Cornell Med Coll, Ctr Liver Dis & Transplantat, New York, NY USANew York Presbyterian Hosp, Weill Cornell Med Coll, Div Gastroenterol & Hepatol, New York, NY USA