Table 2. Examples of Patient-Specific Clinical and Diagnostic Guidancea.
Patient-Specific Guidance | Action Required |
---|---|
Interpreting abnormal LDL cholesterol results in type 2 diabetes based on the LDL level and the presence of arterial atherosclerotic disease | Consider drug, consider test |
Suggesting hemochromatosis based on increased ferritin, iron, or transferrin saturation results | Consider diagnosis |
Recommending to avoid a drug included in the European list of potentially inappropriate medications for an elderly patient32 | Reconsider drug |
Providing advice for prevention of constipation when initiating a strong opioid | Consider drug, change drug |
Reminding of missing or outdated follow-up tests for a patient receiving amiodarone hydrochloride | Consider test, consider imaging |
Recommending to document or investigate the reason for a decreased glomerular filtration rate in case no structured documentation is found | Missing diagnosis, consider test |
Abbreviation: LDL, low-density lipoprotein.
Classified based on the Evidence-Based Medicine Electronic Decision Support reminder classification thesaurus, with actions potentially required to resolve the detected problem. Examples were selected among 25 top-ranked frequently generated and resolved guidance messages.