geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Effectiveness of an intervention to improve the documentation required for diagnosis of metabolic syndrome in clinics serving African-American patients


, : Effectiveness of an intervention to improve the documentation required for diagnosis of metabolic syndrome in clinics serving African-American patients. Quality in Primary Care 17(3): 191-196

The metabolic syndrome (MetS) is a clustering of cardio-metabolic risk factors for cardiovascular disease. It is important to identify individuals with the MetS early and initiate interventions long before adverse conditions occur. Our previous studies found that missing or incomplete data that should be entered into the electronic health record (EHR) by nursing staff could lead to the under-diagnosis of the MetS. This study aimed to determine whether a five-component intervention to improve EHR data entry would increase the completeness of data, particularly height, weight, and blood pressure, needed to diagnose the MetS. Quasi-experimental design with pre-test, intervention, and post-test sessions. Two family medicine residency training clinics serving mainly African-American patients in Atlanta, Georgia, United States. Four nurses and four certified medical assistants attended pre-test, intervention, and post-test sessions. Data of 279 patients at pre-test and 246 patients at post-test were collected and analysed. The pre-test and post-test data completion rates of data entry were compared using rates and Wald chi(2)-test. Rate of patients with information documented in the EHR on blood pressure, weight, and height at pre-test and post-test. There was a statistically significant increase in the recording of height from pre-test to post-test (46.6% versus 96.7%, P <0.001) and the recording of blood pressure from pre-test to post-test (96.8% versus 99.2%, P <0.05). The intervention led to an improvement in the entry of pertinent EHR data among nurses and medical assistants in this primary care setting. This increase improved the ability to identify patients who met the criteria for the MetS.

US$29.90

PMID: 19622269


Other references

Galstyan Avenesyan, S.Kh, 1973: An interesting case of dehybridization in a sterile wheat-rye hybrid under the influence of colchicine. Details are given of S10, an amphihaploid (2n = 28) obtained by pollinating the wheat S2F with rye. After repeated treatment with colchicine it developed a shoot which, when transplanted, produced S10K (2n = 14), a plant identical to the male pare...

Anonymous, 2015: Erratum. Expert Opinion on Emerging Drugs 20(2): 347-347

Gotschall, B., 1989: Giants step forward. This article discusses ways that public schools, colleges, health care facilities, community feeding programs and the military are using innovative approaches to attract customers.

Daguzan, J., 1978: Principales caracteristiques biologiques et ecophysiologiques des Littorinidae, amoricaiks (mollusques gasteropodes proscobranches). Haliotis, 92: 55-64

Bartholomew, C.J.; Schmidt, J.M., 1997: Isolation and characterization of sixteen strains of Planctomyces and Pirellula-like bacteria. Abstracts of the General Meeting of the American Society for Microbiology 97(0): 531

Del Regato, J.A.; Kagan, A.R.bert, 1967: Basic considerations in radiotherapy of renal carcinomas. Radiotherapy has proved helpful as a surgical adjuvant in the treatment of renal neoplasia. Most of the positive evidence accumulated pertains to its use as a postoperative measure. Preoperative trial is recommended. Proper treatment planning on t...

Doktycz, M.J.; Hurst, G.B.; Habibi-Goudarzi, S.; Mcluckey, S.A.; Tang, K.; Chen, C.H.; Uziel, M.; Jacobson, K.B.; Woychik, R.P.; Buchanan, M.V., 1995: Analysis of polymerase chain reaction-amplified DNA products by mass spectrometry using matrix-assisted laser desorption and electrospray: Current status. Recent advances in molecular biology are making it possible to diagnose genetic diseases and identify pathogens through the analysis of DNA. As clinical applications for molecular diagnosis increase, rapid, reliable methods for determination of DN...

George, T., 2005: The case against kidney sales. Issues in Medical Ethics 9(2): 49-50

Khan, M.M., 1965: Foreskin Fetishism And Its Relation To Ego Pathology In A Male Homosexual. International Journal of Psycho-Analysis 46: 64-80

Bell, H., 2011: Air care. Minnesota Medicine 94(6): 8-11