Cardiologist perceptions on automated alerts and messages to improve heart failure care

IF 3.7 2区医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

American heart journal Pub Date : 2024-10-16 DOI:10.1016/j.ahj.2024.10.007

Samuel D. Maidman MD , Saul Blecker MD , Harmony R. Reynolds MD , Lawrence M. Phillips MD , Margaret M. Paul PhD , Arielle R. Nagler MD , Adam Szerencsy DO , Archana Saxena MD , Leora I. Horwitz MD , Stuart D. Katz MD , Amrita Mukhopadhyay MD

{"title":"Cardiologist perceptions on automated alerts and messages to improve heart failure care","authors":"Samuel D. Maidman MD , Saul Blecker MD , Harmony R. Reynolds MD , Lawrence M. Phillips MD , Margaret M. Paul PhD , Arielle R. Nagler MD , Adam Szerencsy DO , Archana Saxena MD , Leora I. Horwitz MD , Stuart D. Katz MD , Amrita Mukhopadhyay MD","doi":"10.1016/j.ahj.2024.10.007","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><div>Electronic health record (EHR)-embedded tools are known to improve prescribing of guideline-directed medical therapy (GDMT) for patients with heart failure. However, physicians may perceive EHR tools to be unhelpful and be hesitant to implement these in their practice.</div></div><div><h3>Methods</h3><div>The BETTER CARE-HF trial (NCT05275920) ran from April 28, 2022 to October 26, 2022 at NYU Langone Health outpatient clinics being seen by 180 cardiologists. The trial compared the effectiveness of an Alert during visits, Messages between visits, or usual care with the primary outcome of MRA prescribing. In this study, we sent surveys via electronic mail to cardiologists who either received an Alert or a Message during BETTER CARE-HF (60 cardiologists per survey).</div></div><div><h3>Results</h3><div>Of the 120 cardiologists who were sent the survey, response rate was 27% in the Alert group and 33% in the Message group. A majority of respondents in both the alert and message groups agreed that EHR tools were easy to use (Alert 79%; Message 69%), served as a reminder to prescribe therapy (Alert 77%; Message 77%;), and that the underlying evidence (Alert 86%; Message 62%) and clinical information (Alert 86%; Message 69%) were trustworthy. Overall, 54% agreed with continued use of the Alert, while 31% agreed with continued use of the Message.</div></div><div><h3>Conclusion</h3><div>Cardiologists perceived the EHR tools to be easy to use, helpful, and improve the overall management of their patients with heart failure.</div></div>","PeriodicalId":7868,"journal":{"name":"American heart journal","volume":"279 ","pages":"Pages 59-65"},"PeriodicalIF":3.7000,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American heart journal","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0002870324002692","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction

Electronic health record (EHR)-embedded tools are known to improve prescribing of guideline-directed medical therapy (GDMT) for patients with heart failure. However, physicians may perceive EHR tools to be unhelpful and be hesitant to implement these in their practice.

Methods

The BETTER CARE-HF trial (NCT05275920) ran from April 28, 2022 to October 26, 2022 at NYU Langone Health outpatient clinics being seen by 180 cardiologists. The trial compared the effectiveness of an Alert during visits, Messages between visits, or usual care with the primary outcome of MRA prescribing. In this study, we sent surveys via electronic mail to cardiologists who either received an Alert or a Message during BETTER CARE-HF (60 cardiologists per survey).

Results

Of the 120 cardiologists who were sent the survey, response rate was 27% in the Alert group and 33% in the Message group. A majority of respondents in both the alert and message groups agreed that EHR tools were easy to use (Alert 79%; Message 69%), served as a reminder to prescribe therapy (Alert 77%; Message 77%;), and that the underlying evidence (Alert 86%; Message 62%) and clinical information (Alert 86%; Message 69%) were trustworthy. Overall, 54% agreed with continued use of the Alert, while 31% agreed with continued use of the Message.

Conclusion

Cardiologists perceived the EHR tools to be easy to use, helpful, and improve the overall management of their patients with heart failure.

查看原文本刊更多论文

心脏病专家对自动提示和信息改善心衰护理的看法。

众所周知，电子健康记录（EHR）嵌入式工具可改善心衰患者的指导性医疗疗法（GDMT）处方。然而，医生可能会认为电子病历工具没有帮助，因此在实践中犹豫不决。我们就两种有效改善心衰护理的电子病历工具对心脏病学家进行了调查，他们认为电子病历工具易于使用、有帮助并能改善心衰患者的整体管理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

American heart journal 医学-心血管系统

CiteScore

8.20

自引率

2.10%

发文量

214

审稿时长

38 days

期刊介绍： The American Heart Journal will consider for publication suitable articles on topics pertaining to the broad discipline of cardiovascular disease. Our goal is to provide the reader primary investigation, scholarly review, and opinion concerning the practice of cardiovascular medicine. We especially encourage submission of 3 types of reports that are not frequently seen in cardiovascular journals: negative clinical studies, reports on study designs, and studies involving the organization of medical care. The Journal does not accept individual case reports or original articles involving bench laboratory or animal research.