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Conducting Respiratory Oscillometry in an Outpatient Setting
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Effect of default order set settings on telemetry ordering.

David Rubins1,2, Robert Boxer1,2, Adam Landman2,3

  • 1Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.

Journal of the American Medical Informatics Association : JAMIA
|September 11, 2019
PubMed
Summary
This summary is machine-generated.

Changing default electronic health record order set settings significantly reduced telemetry orders. This highlights how default selections influence clinician behavior in healthcare settings.

Keywords:
default order set settingsmedical order entry systemsoverutilizationtelemetry

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Area of Science:

  • Clinical Informatics
  • Health Services Research

Background:

  • Default settings in electronic health records (EHRs) can influence clinician ordering practices.
  • Understanding the impact of default order set configurations is crucial for optimizing healthcare delivery.

Purpose of the Study:

  • To investigate the impact of adjusting default order set settings on telemetry usage.
  • To determine if pre-selecting telemetry orders affects clinician ordering behavior.

Main Methods:

  • A retrospective, controlled, before-and-after study was conducted.
  • The study compared telemetry ordering before and after changing the default setting for admission telemetry orders.
  • Two control order sets with unchanged default settings were used for comparison.

Main Results:

  • Telemetry ordering decreased significantly from 79.1% to 21.3% after changing the default setting (P < .001).
  • No significant change in telemetry usage was observed in the control groups.
  • The study included 1,163 patients admitted between January 2017 and May 2018.

Conclusions:

  • Modifying default selections in EHR order sets can substantially alter clinician ordering behavior.
  • Default settings play a critical role in clinical decision-making and resource utilization.
  • Further research is needed to assess the impact of these ordering changes on patient care and safety.