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J Am Med Inform Assoc 13:188-196 doi:10.1197/jamia.M1656
  • Original Investigation

Integrating “Best of Care” Protocols into Clinicians' Workflow via Care Provider Order Entry: Impact on Quality-of-Care Indicators for Acute Myocardial Infarction

Table 4

Failure to Order Aspirin or Beta-blockers before and after the Implementation of the Admission Advisor

Pre-intervention Post-intervention
No. of Eligible Patients Not Receiving Therapy (%) ACS Order Set (Used) ACS Order Set (Not Used) Combined ACS Order Set (Used) ACS Order Set (Not Used) Combined Significance* OR, p-Value (95% CI)
Suspected AMI admissions
 Aspirin 16/189 (8.4) 28/124 (22.5) 44/313 (14) 15/161 (9.3) 14/66 (21.2) 29/227 (12.7) 1.17, 0.58 (0.66–2.07)
 Beta-blocker 56/189 (29.6) 38/124 (30.6) 94/313 (30) 30/161 (18.6) 20/66 (30.3) 50/227 (22) 1.44, 0.11 (0.91–2.30)
Suspected AMI admissions with confirmed AMI
 Aspirin 2/49 (4) 7/56 (12.5) 9/105 (8.5) 1/48 (2) 2/27 (7.4) 3/75 (4) 2.27, 0.27 (0.52–9.85)
 Beta-blocker 5/49 (10.2) 11/56 (19.6) 16/105 (15.2) 7/48 (14.5) 5/27 (18.5) 12/75 (16) 0.95, 0.9 (0.41–2.20)
  • ACS = acute coronary syndrome; AMI = acute myocardial infarction.

  • * Generalized estimating equation analyses: OR (odds ratio), CI (confidence interval).

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