Table 2.
% of nurses who documented a CDS-recommended action with at least one of their patients in target population (N=165) | % of patient records in the intervention group with documented action (N=2550) | |
---|---|---|
Indicator that nurse took at least one action from decision support tool | 82% | 42% |
Mean number of actions per patient when used at least once (SD); possible range = 1–13 | 7.2 (2.8) | |
Provision | ||
Provided medication list | 58% | 15% |
Provided pre-pour box | 50% | 11% |
Teaching | ||
Importance of adherence to the medication regimen | 78% | 33% |
To keep the medication list up to date | 79% | 39% |
To bring the medication list to each physician visit | 81% | 39% |
To develop system or plan to obtain medication refills on time | 69% | 31% |
To remove/discard old and/or expired medications | 75% | 33% |
To contact physician with any immediate concerns about medications or side effects | 74% | 31% |
To work with pharmacist to synchronize refills | 60% | 22% |
To use one pharmacy if possible | 72% | 30% |
To discuss medication simplification with physician | 48% | 11% |
Strategies to help with medication adherence | 64% | 24% |
Management | ||
Contacted physician to discuss medication simplification | 13% | 2% |
CDS = clinical decision support; SD = standard deviation