Advertisement

A “Smart” Heart Failure Sheet: Using Electronic Medical Records to Guide Clinical Decision Making

      The patient is a 76-year-old smoker with diabetes, prior myocardial infarction, and atrial fibrillation. He takes aspirin, metformin, and atorvastatin. He recently gained 10 lbs and now has dyspnea with exertion. The doctor obtains an echocardiogram, which demonstrates a left ventricular ejection fraction of 35%, left ventricular dilatation, and moderate-to-severe mitral regurgitation.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to The American Journal of Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Hernandez A.F.
        • Hammill B.G.
        • Peterson E.D.
        • et al.
        Relationships between emerging measures of heart failure processes of care and clinical outcomes.
        Am Heart J. 2010; 159: 406-413
        • Shah B.
        • Hernandez A.F.
        • Liang L.
        • et al.
        Hospital variation and characteristics of implantable cardioverter-defibrillator use in patients with heart failure: data from the GWTG-HF (get with the guidelines-heart failure) registry.
        J Am Coll Cardiol. 2009; 53: 416-422
        • Cabana M.D.
        • Rand C.S.
        • Powe N.R.
        • et al.
        Why don't physicians follow clinical practice guidelines?.
        JAMA. 1999; 282: 1458-1465
        • Schnipper J.L.
        • Linder J.A.
        • Palchuk M.B.
        • et al.
        “Smart forms” in an electronic medical record: documentation-based clinical decision support to improve disease management.
        J Am Med Inform Assoc. 2008; 15: 513-523
        • Baron R.J.
        Meaningful use of health information technology is managing information.
        JAMA. 2010; 304: 89-90
        • Weed L.L.
        Medical records that guide and teach.
        MD Comput. 1993; 10: 100-114