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Decision-support tool tied to increased outpatient management of PE

Journal
JAMA Network Open
Reuters Health - 27/05/2022 - A peer champion-led decision support intervention to increase outpatient management of pulmonary embolism (PE) was sustainable four years after implementation, a cohort analysis shows. The researchers suggest that their model could improve sustainability of practice change for other conditions and warrants further study. "We had expected the rates of home management to have increased over the last few years as physicians became more comfortable with this practice," Dr. David Vinson of Kaiser Permanente in Oakland, California told Reuters Health by email. "Even so, we were surprised at the magnitude of improvement." As reported in JAMA Network Open, the study was conducted in emergency departments (EDs) at 21 US community hospitals that had previously participated in the original decision-support intervention trial four years earlier: 10 were intervention sites, 11 were controls. In that trial, decision support with champio...


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