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Review
. 2023 Aug;20(4):280-286.
doi: 10.1007/s11897-023-00614-0. Epub 2023 Aug 8.

Electronic Health Record Embedded Strategies for Improving Care of Patients With Heart Failure

Michael A Fuery  1 , Bashar Kadhim  2 , Marc D Samsky  1 , James V Freeman  1 , Katherine Clark  1 , Nihar R Desai  1 , Francis P Wilson  2 , Treeny Ahmed  3 , Tariq Ahmad  4
Affiliations
Review

Electronic Health Record Embedded Strategies for Improving Care of Patients With Heart Failure

Michael A Fuery et al. Curr Heart Fail Rep. 2023 Aug.

Abstract

Purpose: A majority of clinical decisions use the electronic health record (EHR) and there is an unmet need to use its capability to help providers to make evidence-based decisions that improve care for heart failure patients. These electronic nudges are rooted in the human psychology of decision-making and often target specific cognitive biases. This review outlines the development of novel EHR nudges and specific lessons learned from each experience to inform the development of future interventions.

Recent findings: There have been several randomized clinical trials examining the impact of EHR alerts on quality of care for heart failure patients. These interventions have targeted both clinicians and patients. There are features of each trial that inform best practices and future directions for EHR nudges. Recent clinical trials have demonstrated that some EHR alerts can improve care for heart failure patients. These trials utilized default options, involved clinicians in the alert design process, provided actionable recommendations, and aimed to minimize disruptions to typical workflow. Alerts aimed at improving care should be examined in a randomized fashion in order to evaluate their impact on clinician satisfaction and patient care.

Keywords: Electronic health record; Guideline-directed medical therapy; Heart failure; Nudge.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance
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