TY - JOUR AU - McLoughlin, Thomas M. AB - Point-of-Care Electronic Prompts: An Effective Means of Increasing Compliance, Demonstrating Quality, and Improving Outcome Nanette M. Schwann, MD,*†‡ Karen A. Bretz, MD,*†‡ Sherrine Eid, MPH,§ Terry Burger, RN, BSN, MBA, Deborah Fry, MT, MBA, Frederick Ackler, CRNA,¶ Paul Evans, CRNA,¶ David Romancheck, BS,¶ Michelle Beck, BS, MBA,# Anthony J. Ardire, MD, MPH,** Harry Lukens, BS, MS,# and Thomas M. McLoughlin, MD*†† BACKGROUND: Incentives based on quality indicators such as the Surgical Care Improvement Project core measures (SCIP 1) encourage implementation of evidence-based guidelines consistently into clinical practice. Information systems with point-of-care electronic prompts (POCEPs) can facilitate adoption of processes and benchmark performance. We evaluated the effectiveness of POCEPs on rates of antibiotic administration within 60 minutes of surgical incision and effect on outcome in a prospective observational trial. METHODS: SCIP 1 compliance and the corresponding outcome variable (surgical site infection [SSI]) were examined prospectively over 2 consecutive 6-month periods before (A) and after (B) POCEPs implementation at a regional health system. Secondary analysis extended the obser- vation to two 12-month periods (A and B). A 2-year (C and D) sustainability phase followed. RESULTS: The 19,744 procedures included 9127 and 10,617 procedures before (A) and after (B) POCEPs implementation, respectively. TI - Point-of-Care Electronic Prompts An Effective Means of Increasing Compliance, Demonstrating Quality, and Improving Outcome JF - Anesthesia & Analgesia DO - 10.1213/ANE.0b013e318227b511 DA - 2011-10-01 UR - https://www.deepdyve.com/lp/wolters-kluwer-health/point-of-care-electronic-prompts-an-effective-means-of-increasing-EA9vSVUq0Y SP - 869–876-869&ndash EP - ndash;876-869–876 VL - 113 IS - 4 DP - DeepDyve ER -