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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/randomised-controlled-trial-0
July 05, 1997 - A randomised controlled trial of feedback to general practitioners of their prophylactic aspirin prescribing … Purpose of Study: Evaluate a feedback of general practitioners' computerized data on aspirin prescribing … aimed at increasing coded aspirin prescribing in patients with heart ischemic disease. … Intervention: Computerized intervention practices, which receive feedback on their prescribing of aspirin … Evaluation Method: Measure of prophylactic aspirin prescribing patients with heart ischemic disease.
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digital.ahrq.gov/sites/default/files/docs/page/2-2010_0201_TEP_Demos_Dashboards.pdf
January 01, 2010 - Dashboard: CAD and no aspirin
Dashboard: CAD and no aspirin
Reminder: CAD and no aspirin
%patients … 30 days
Reminder: CAD and no aspirin
Reminder: CAD and no aspirin
(Coded acknowledgement responses … )
Reminder: CAD and no aspirin (Dec 2009)
Reminder: CAD and no aspirin (Dec 2009)
Reminder: … Reminder: CAD and no aspirin
Reminder: CAD and no aspirin�(Coded acknowledgement responses)
Reminder … : CAD and no aspirin (Dec 2009)
Clinician’s Dashboard
Lessons Learned (challenges)
Future Plans
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digital.ahrq.gov/ahrq-funded-projects/encoding-and-processing-patient-allergy-information-ehrs/citation/clinicians
January 01, 2023 - health records versus patients' concerns in social media: a pilot study of adverse drug reactions of aspirin … health records versus patients' concerns in social media: a pilot study of adverse drug reactions of aspirin
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digital.ahrq.gov/ahrq-funded-projects/patient-centered-outcomes-research-clinical-decision-support-cds-connect/citation/aspirin
January 01, 2023 - Implementation guide: USPSTF aspirin therapy for the primary prevention of cardiovascular disease and … Implementation guide: USPSTF aspirin therapy for the primary prevention of cardiovascular disease and
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digital.ahrq.gov/ahrq-funded-projects/patient-centered-outcomes-research-clinical-decision-support-prototype/citation/aspirin
January 01, 2022 - Implementation guide: USPSTF aspirin therapy for the primary prevention of cardiovascular disease and … Implementation guide: USPSTF aspirin therapy for the primary prevention of cardiovascular disease and
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/morris-cj-et
January 01, 2023 - event is when a patient has a second myocardial infarction after the physician failed to prescribe aspirin … when aspirin was not contraindicated. … Issues that were identified included (1) "[f]ollow up of patients not prescribed aspirin or a beta blocker … contraindications was filled in, so that it is clear whether a post-MI patient should be prescribed aspirin
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digital.ahrq.gov/sites/default/files/docs/page/3-2010_0201_TEP_Demos_KMPortal.pdf
January 01, 2010 - Message Request with the Message
"Because you have diabetes or heart disease, you might benefit from aspirin … If you are not taking aspirin regularly, you may want to discuss whether or not you should take aspirin … Substance Administration Request with product
code "C0004057" , route "C38288" , alternative text "Start aspirin
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/integrating-best-care-protocols
Outcomes included rates of use of standardized order sets and rates of aspirin and beta-blocker ordering … acute myocardial infartion (ACI) admissions, CS order set use led to a significant increase in early aspirin
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/khoury-1998-support
January 01, 1998 - This article details examples of compliance improvements with guidelines for the use of aspirin in coronary … Financial incentives were also used in the aspirin-coronary artery disease intervention; this may have
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs020696-ballard-final-report-2013.pdf
January 01, 2013 - : HbA1c ≤ 8%; LDL-
cholesterol <100 mg/dL; blood pressure <130/80 mmHg; not smoking; and documented aspirin … diabetes care”, defined as: HbA1c <
8%; LDL cholesterol < 100 mg/dL; Blood pressure < 130/80 mmHg; Aspirin … We
excluded all patients less than 40 years old (n=1495) because the aspirin recommendation applies … Documented aspirin use (included in the optimal care measure) might be particularly
subject to this … Documented microalbumin
9
tests, aspirin prescription, and eye and foot exams increased
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017075-sequist-final-report-2010.pdf
January 01, 2010 - The
primary outcomes measures included performance of an electrocardiogram and administration of
aspirin … The alert facilitated “one-
click” electronic ordering of both the electrocardiogram and the aspirin. … Among high risk patients, women were much less likely than men to receive aspirin therapy (OR
0.67, … Older age was associated with
higher rates of aspirin therapy (OR 1.2 (per decade), p = 0.02). … Among low risk patients, older age was associated with higher rates of aspirin therapy
(OR 1.9, p <
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digital.ahrq.gov/medical-condition/colorectal-cancer
January 01, 2024 - HS026075
Principal Investigator(s)
Zhu, Xi
Implementation guide: USPSTF aspirin … Implementation guide: USPSTF aspirin therapy for the primary prevention of cardiovascular disease and
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/morris-l-et-al-2003-how
January 01, 2003 - outcome measures: Recording of family history, smoking status, blood pressure (BP), diabetes testing, aspirin … Some items that are easily recorded as part of routine clinical practice, such as prescribing of aspirin
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digital.ahrq.gov/ahrq-funded-projects/impact-health-it-implementation-diabetes-process-and-outcome-measures/annual-summary/2012
January 01, 2012 - This composite measure includes hemoglobin A1c (HbA1c), cholesterol, blood pressure, aspirin prescription … improvement after adjustment were systolic blood pressure <130 mmHg, diastolic blood pressure <80 mmHg, aspirin
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digital.ahrq.gov/sites/default/files/docs/activity/r21hs020696-ballard-annual-summary-2012.pdf
January 01, 2012 - This composite measure
includes hemoglobin A1c (HbA1c), cholesterol, blood pressure, aspirin prescription … improvement
after adjustment were systolic blood pressure <130 mmHg, diastolic blood pressure <80 mmHg, aspirin
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digital.ahrq.gov/sites/default/files/docs/citation/cds-connect-year7-final-report-2023.pdf
January 01, 2023 - Preventive Services Task Force Aspirin Therapy for the Primary Prevention of Cardiovascular
Disease … prediabetes-and-type-2-diabetes-part-two-counseling
https://cds.ahrq.gov/cdsconnect/artifact/uspstf-aspirin-therapy-primary-prevention-cardiovascular-disease … https://cds.ahrq.gov/cdsconnect/artifact/uspstf-aspirin-therapy-primary-prevention-cardiovascular-disease
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/does-fixed-physician-reminder
September 01, 2001 - significant differences in patients outcomes (mortality, total serum cholesterol, LDL level) or treatment (aspirin
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/identifying-patients-ischaemic
January 01, 2000 - By searching the records of patients also receiving aspirin, atenolol, digoxin, or a statin, the sensitivity
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digital.ahrq.gov/sites/default/files/docs/page/modeling-risk-reduction-interventions-for-patients-with-type-2-diabetes-mellitus.pdf
June 03, 2010 - Correlation between absolute differences in outcomes
also amazing (r=0.97)
Predicted lower effectiveness of aspirin … 70, 100, 130, 160
ACEI/ARB Yes, no
Beta blocker Yes, no
Blood glucose control Yes, no
Low dose aspirin … 160 LDL 130 A1c 9%
Baseline Risk 37.9%
Smoking Cessation 19.1% 15.3%
Moderate Exercise 9.4% 16.3%
Aspirin
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digital.ahrq.gov/sites/default/files/docs/publication/action-cp-cds-tool-specifications.pdf
May 23, 2013 - Aspirin/Dipyridamole
Aspirin (exception 81 mg or 325 mg daily)
Aspirin/Pravastin
Cilostazol
Clopidogrel