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The effectiveness rates of combined education intervention were tested in combination with other strategies, including patient education [ 35, 36], delayed prescriptions [ 37], audit and feedback [ 38– 42], and clinician reminder and decision support system [ 17].
Reduction rates of antibiotic prescribing of education interventions in combination with other strategies are as follows: patient education, 14%; delayed prescriptions, 45%; audit and feedback, 72%; clinician reminder and decision support system, 57%.
To minimize misuse or overuse of antibiotics in hospital, besides clinician education, there are a number of intervention programs, such as patient education, delayed prescriptions, audit and feedback, clinician reminder and decision support system, and financial and regulatory incentives or disincentives.
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Computerized reminders and decision support systems have repeatedly been shown to improve the quality of outpatient care.
Prior studies have shown that computerized reminders and decision support systems consistently increase the delivery of preventive services and improve the quality of outpatient care [ 3- 9].
As the use of medical informatics becomes more widespread, computerized reminders and decision support systems may play an important role in improving the delivery of preventative services and outpatient care.
Personnel-related factors (which partly explain the deficiencies) can be minimized using checklists and reminders and decision support, which have both been shown to result in lower rates of surgical site infection (Webb et al. 2006, Haynes et al. 2009).
Alerting protocols are highly heterogeneous and evidence on effectiveness is mixed; they have been shown to improve preventive care [ 50], but multiple studies have also found high rates of overriding alerts and reminders in physician order entry and decision support systems [ 29].
The primary outcomes are (1) return of completed FOBT within 6 weeks (prior to reminder) and 12 weeks (after reminder); and (2) change in decision stage on the PAPM between intention expressed in the BS and decision stage as measured in the ES.
Structured medical knowledge in the form of clinical alerts or reminder rules, decision trees or tables, clinical protocols or practice guidelines, score algorithms, and others, constitute the core of CDSSs.
A review from 2003 graded interventions; it found that mass media campaigns, small group interactive meetings, reminders, computerized decision support, and introduction of computers to aid in practice were the most effective methods [ 25].
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