Electronic health record alerts for management of heart failure with reduced ejection fraction in hospitalized patients: the PROMPT-AHF trial.
Lama GhaziYu YamamotoMichael FueryKyle O'ConnorSounok SenMarc SamskyRalph J RielloRavi DharJoanna HuangTemitope OlufadeJames McDermottSilvio E InzucchiEric J VelazquezFrancis Perry WilsonNihar R DesaiTariq AhmadPublished in: European heart journal (2023)
A real-time, targeted, and tailored EHR-based alert system for AHF did not lead to a higher number of overall GDMT prescriptions at discharge. Further refinement and improvement of such alerts and changes to clinician incentives are needed to overcome barriers to the implementation of GDMT during hospitalizations for AHF. GDMT remains suboptimal in this setting, with only one in nine patients being discharged on a comprehensive evidence-based regimen for heart failure.
Keyphrases
- electronic health record
- heart failure
- clinical decision support
- end stage renal disease
- newly diagnosed
- ejection fraction
- chronic kidney disease
- healthcare
- primary care
- left ventricular
- smoking cessation
- clinical trial
- peritoneal dialysis
- prognostic factors
- atrial fibrillation
- cancer therapy
- acute heart failure
- drug delivery
- quality improvement
- human immunodeficiency virus
- hepatitis c virus