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Erschienen in: Neurological Sciences 12/2017

01.12.2017 | Original Article

An exploratory study of the electronic medical record and outpatient vascular neurology consultations

verfasst von: Larissa Georgeon, Philip B. Gorelick, Tenko Raykov, Muhammad U. Farooq, Jiangyong Min, Christopher Goshgarian, Bradley Haveman-Gould, Amy Groenhout, Molly McCarthy

Erschienen in: Neurological Sciences | Ausgabe 12/2017

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Abstract

We carried out a quality improvement project utilizing the electronic medical record (EMR) to determine (1) the quality of vascular neurologists’ recommendations for recurrent stroke prevention and (2) primary care provider (PCP) acknowledgement of the vascular neurologists’ recurrent stroke prevention recommendations and their frequency of meeting the recommended metrics for risk factor control and lifestyle modification. We conducted a retrospective EMR chart review on a convenience sample of ischemic stroke patients during two epochs. Data collected included risk factors, stroke subtype, and process and outcome guidance metrics for recurrent ischemic stroke prevention according to American Heart Association/American Stroke Association (AHA/ASA) recommendations. Overall, vascular neurologists commonly recommended appropriate AHA/ASA risk factor management standards, but were less likely to do so for lifestyle management. Improvements in the EMR system over time, including the establishment of guideline-driven importable recurrent stroke prevention templates, led to a high frequency of proper risk factor and lifestyle recommendations made by vascular neurologists. Statistical analysis provided further evidence that the EMR positively influenced the delivery of proper recurrent stroke prevention guidance. Although PCPs infrequently acknowledged receipt of vascular neurology consultations, there was a relatively high frequency of achieved risk factor control. The latter may be attributed at least in part to pre-existent quality improvement programs implemented at primary care offices. Our exploratory findings suggest that proper use of the EMR may heighten efforts to provide appropriate and consistent recurrent stroke prevention recommendations in a primary care setting.
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Metadaten
Titel
An exploratory study of the electronic medical record and outpatient vascular neurology consultations
verfasst von
Larissa Georgeon
Philip B. Gorelick
Tenko Raykov
Muhammad U. Farooq
Jiangyong Min
Christopher Goshgarian
Bradley Haveman-Gould
Amy Groenhout
Molly McCarthy
Publikationsdatum
01.12.2017
Verlag
Springer Milan
Erschienen in
Neurological Sciences / Ausgabe 12/2017
Print ISSN: 1590-1874
Elektronische ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-017-3144-x

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