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Automated drug alerts.


Preventing adverse drug reactions is a top reason for implementing clinical decision support systems. Research has documented how the use of these systems can improve patient safety. Every Most Wired hospital provides physicians with drug interaction and drug allergy clinical alerts in real time, compared with approximately 80 percent of all hospitals surveyed. Nearly two-thirds of Most Wired hospitals use an automated review of Centers for Medicare & Medicaid Services quality indicators to provide compliance alerts, compared with one-third of all hospitals.

"While the functionality of the systems is critical, it is not that functionality itself that provides the biggest impact to patient safety and quality. In conjunction with functionality, like CPOE and documentation, the biggest impact comes from content--order sets, best practice alerts," says Chief Information Officer Douglas Abel, Anne Arundel Health System, Annapolis, Md. "Those things change behavior by reducing variance and driving better care decisions at the point of care."

Each month, H&HN will provide continuing coverage of the annual Most Wired Survey and Benchmarking Study and other IT issues. The survey is made possible through a partnership among H&HN, the American Hospital Association, the College of Healthcare Information Management Executives and McKesson Corp. AT&T and CareTech Solutions provide additional support.
Physician access to clinical alerts in real time
The percentage of respondents that have enabled real-time quality
reporting data

 2011 All 2011 Most Wired

Drug formulary 77% 95%

Drug allergy 84% 100%

Drug interaction 78% 100%

Dose checking 68% 93%

Source: Hospitals & Health Networks' Most Wired Survey, 2011

Note: Table made from bar graph.

Quality indicator compliance alerts
The percentage of respondents that use an automated review of CMS
key indicators to provide compliance alerts

2011 All Yes 34%

2011 Most Wired Yes 63%

Source: Hospitals &
Health Networks' Most
Wired Survey, 2011

Note: Table made from pie chart.
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Title Annotation:MOST WIRED
Author:Hoppszallern, Suzanna
Publication:H&HN Hospitals & Health Networks
Date:Jun 1, 2012
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