Actionable reminders did not improve performance over passive reminders for overdue tests in the primary care setting.


Journal Article

Actionable reminders (electronic reminders linked to computerized order entry) might improve care by facilitating direct ordering of recommended tests. The authors implemented four enhanced actionable reminders targeting performance of annual mammography, one-time bone-density screening, and diabetic testing. There was no difference in rates of appropriate testing between the four intervention and four matched, control primary care clinics for screening mammography (OR 0.81, 95% CI 0.64 to 1.02), bone-density exams (OR 1.29, 95% CI 0.82 to 2.02), HbA1c monitoring (OR 0.91, 95% CI 0.58 to 1.42) and LDL cholesterol monitoring (OR 1.40, 95% CI 0.76 to 2.59). Of the survey respondents, 79% almost never used the system or were unaware of the functionality. In the 9/228 (3.9%) cases with indirect evidence of mammography reminder use, there was a significantly lower proportion with test performance. Our actionable reminders did not improve receipt of overdue testing, potentially due to limitations of workflow integration.

Full Text

Duke Authors

Cited Authors

  • El-Kareh, RE; Gandhi, TK; Poon, EG; Newmark, LP; Ungar, J; Orav, EJ; Sequist, TD

Published Date

  • March 2011

Published In

Volume / Issue

  • 18 / 2

Start / End Page

  • 160 - 163

PubMed ID

  • 21278102

Pubmed Central ID

  • 21278102

Electronic International Standard Serial Number (EISSN)

  • 1527-974X

International Standard Serial Number (ISSN)

  • 1067-5027

Digital Object Identifier (DOI)

  • 10.1136/jamia.2010.003152


  • eng