Quality improvement in preoperative assessment by implementation of an electronic decision support tool

  • Flamm M
  • Fritsch G
  • Hysek M
 et al. 
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Abstract

OBJECTIVES: To evaluate the impact of the electronic decision support (eDS) tool 'PReOPerative evaluation' (PROP) on guideline adherence in preoperative assessment in statutory health care in Salzburg, Austria. MATERIALS AND METHODS: The evaluation was designed as a non-randomized controlled trial with a historical control group (CG). In 2007, we consecutively recruited 1363 patients admitted for elective surgery, and evaluated the preoperative assessment. In 2008, PROP was implemented and available online. In 2009 we recruited 1148 patients preoperatively assessed using PROP (294 outpatients, 854 hospital sector). Our analysis includes full blood count, liver function tests, coagulation parameters, electrolytes, ECG, and chest x-ray. RESULTS: The number of tests/patient without indication was 3.39 in the CG vs 0.60 in the intervention group (IG) (p

Author-supplied keywords

  • *Decision Support Systems, Clinical
  • Adult
  • Aged
  • Austria
  • Diagnostic Tests, Routine/economics/standards/*uti
  • Elective Surgical Procedures/*standards
  • Female
  • Guideline Adherence
  • Humans
  • Male
  • Middle Aged
  • Practice Guidelines as Topic
  • Preoperative Care/*standards
  • Quality Improvement
  • clinical guideline
  • electronic decision support
  • implementation
  • preoperative assessment

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Authors

  • M Flamm

  • G Fritsch

  • M Hysek

  • S Klausner

  • K Entacher

  • S Panisch

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