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Tag: EHR

EHR Nudges for Statin Prescribing: Not There Yet

October 7, 2020
| No Comments
| Health News

Electronic health record-based clinical decision support (EHR CDS) alerts didn’t increase statin prescribing in a three-arm cluster-randomized trial.

Statin prescribing at guideline-recommended doses increased from 41.2% to 44.5% among cardiologists randomized to 6 months of pop-up alerts requiring action, but that was no better than the slight bump seen among controls receiving no intervention (from 41.8% to 42.6%, P=0.08 between groups).

However, for the subgroup of patients with clinical atherosclerotic cardiovascular disease (ASCVD), the active choice intervention did lead to significantly improved statin prescribing at the optimal dose (from 39.8% to 44.6%, P=0.008), reported Mitesh Patel, MD, MBA, of the University of Pennsylvania in Philadelphia, and colleagues.

Whether there is really a benefit for this subgroup of patients warrants further study, Patel’s group wrote in a manuscript published online in JAMA Cardiology.

The active choice intervention consisted of an unchanging pop-up alert in the EHR that required

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UHS recovers corporate data center servers, EHR remains down after attack

October 5, 2020
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| Health Center

King of Prussia-based Universal Health Services had recovered all servers at its corporate data center and established connectivity for inpatient facilities as of Oct. 3, according to a statement from the health system.

UHS suffered a cyberattack Sept. 27 caused by malware and disconnected its computer systems to prevent further unauthorized access. The health system was still working to restore its IT network and reconnect applications when the statement was released, but it confirmed that its inpatient facilities now are connected to its corporate data center.

The health system also said its EHR has not been directly affected and it’s trying to restore connections to the EHR. UHS facilities were still using backup processes and downtime documentation methods as of Oct. 3.

“All patient safety protocols remain in effect, and patient care continues to be delivered safely and effectively at our facilities across the country. As we conduct our IT

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