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The Article in Brief
Impact of Electronic Health Record Clinical Decision Support on Diabetes Care: A Randomized Trial
Patrick J. O'Connor , and colleagues
Background This study tests a diabetes decision support tool embedded in an electronic health record. The tool offers doctors drug-specific treatment suggestions based on the patient�s current treatment, clinical goals, other medical conditions, and kidney and liver functions.
What This Study Found Compared with patients in the control group, patients in the intervention group had significantly better hemoglobin A1c values, better maintenance of systolic blood pressure control, and borderline better maintenance of diastolic blood pressure control. Participating doctors were highly satisfied with the intervention, and many continued using the technology after the study ended.
Implications
- The authors conclude that, in the coming era of genomic medicine and personalized chronic disease care, clinical support decision strategies like the one tested in this trial, capable of simultaneously standardizing and personalizing clinical care, will become essential to effective primary care.