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American Journal of Medical Quality, Vol. 18, No. 4, 147-149 (2003)
DOI: 10.1177/106286060301800403

Using the Electronic Medical Record to Enhance the Use of Combination Drugs

Brian J. Wells, MD

Department of Family Medicine, Medical University of South Carolina, 295 Calhoun Street, Charleston, SC 29425 wellsbj{at}musc.edu

Keith D. Lobel, MD

Department of Family Medicine, Medical University of South Carolina, Charleston, SC

Lori M. Dickerson, PharmD

Department of Family Medicine, Medical University of South Carolina, Charleston, SC

The objective of this study was to increase combination drug prescriptions through the use of electronic point-of-care reminders, thereby maintaining quality while decreasing medication costs. The electronic medical record (EMR) was used to identify all patients who were potential candidates for one of the following 3 currently available combination drugs: fluticasone-salmeterol, amlodipine-benazepril, or glyburide-metformin. Point-of-care electronic reminders were attached to the medication record of the EMR for each patient, and providers were asked to consider using the available combination medication. Of the patients who had electronic reminders attached to their charts and were seen at the clinic during the study period, 47 of 175 were switched to a combination medication. A cost-savings analysis showed a total annual savings of $6,159.30. Point-of-care reminders are a simple and effective tool for quality-improvement interventions. Combination drugs may play an important role in controlling medication costs.

Key Words: Electronic medical record • medications • primary care • quality improvement


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