rss
J Am Med Inform Assoc 15:424-429 doi:10.1197/jamia.M2602
  • Focus on Safe e-Prescribing

A Randomized Trial of Electronic Clinical Reminders to Improve Medication Laboratory Monitoring

Table 3

Population Guideline Adherence and Impact of Electronic Reminders on Medication Laboratory Monitoring

Medication–Lab Reminder Arm # Visits # Visits with Lab Overdue (%) # Lab Ordered when Overdue (%) Odds Ratio (Adjusted) p-Value
NSAID–Cr C 9307 428 (4.6%) 136 (31.8%) 1.24 (0.71–2.15) 0.457
I 8487 442 (5.2%) 150 (33.9%)
ARB–Cr C 832 27 (3.2%) 17 (63.0%) 0.24 (0.04–1.34) 0.104
I 751 31 (4.1%) 17 (54.8%)
Metformin–Cr C 781 16 (2.1%) 6 (37.5%) 0.53 (0.05–5.34) 0.594
I 856 20 (2.3%) 7 (35.0%)
K Supplement–K C 751 9 (1.2%) 5 (55.5%) 0.91 (0.03–24.44) 0.956
I 579 12 (2.1%) 7 (58.3%)
K Sparing Diuretic–K C 875 28 (3.2%) 17 (60.7%) 0.82 (0.12–5.60) 0.836
I 761 19 (2.5%) 13 (68.4%)
Thiazide Diuretic–K C 2508 89 (3.5%) 46 (51.7%) 1.30 (0.63–2.67) 0.473
I 1997 62 (3.1%) 40 (64.5%)
ACE Inhibitor–K C 2790 80 (2.9%) 40 (50.0%) 1.00 (0.43–2.30) 0.993
I 2279 119 (5.2%) 57 (47.9%)
Statin–ALT C 10935 674 (6.2%) 358 (53.1%) 0.89 (0.43–1.81) 0.740
I 9441 613 (6.5%) 291 (47.5%)
Thyroxine–TSH C 1233 44 (3.6%) 25 (56.8%) 1.19 (0.40–3.53) 0.747
I 897 38 (4.2%) 22 (57.9%)
Therapeutic Level* C 755 26 (3.4%) 4 (15.4%) 0.55 (0.03–8.94) 0.677
I 514 16 (3.1%) 2 (12.5%)
  • * This represents the aggregated reminders for Therapeutic monitoring the following medications: carbamazapine, cyclosporine, Phenobarbital, phenytoin, Proc-NAPA, valproate.

  • C = Control; I = Intervention. Please refer to Table 1 for medication abbreviations.

This Article

Access policy for JAMIA

All content published in JAMIA is deposited with PubMed Central by the publisher with a 12 month embargo. Authors/funders may pay an Unlocked fee of $2,000 to make the article free on the JAMIA website and PMC immediately on publication.

All content older than 12 months is freely available on this website.

AMIA members can log in with their JAMIA user name (email address) and password or via the AMIA website.