The Effect of Implementation of Guideline Order Bundles Into a General Admission Order Set on Clinical Practice Guideline Adoption: Quasi-Experimental Study.

Justine Mrosak Swaminathan Kandaswamy Claire L Stokes David Roth Jenna Gorbatkin Ishaan Dave Scott E Gillespie Evan W Orenstein

Published in: JMIR medical informatics (2023)

The integration of CPG-specific order bundles into a general admission order set improved overall CPG adoption. However, integrating only some CPGs may reduce adoption of order bundles for excluded CPGs. Diagnostic uncertainty at the time of admission is likely an underrecognized barrier to guideline adherence that is not addressed by an integrated admission order set.

Keyphrases

emergency department
dna methylation
electronic health record
primary care
type diabetes
gene expression
metabolic syndrome
quality improvement
weight loss