Improved cardiovascular prevention using best CME practices: A randomized trial

• DOI: 10.1002/chp.20002
• Publication Date: 2009-03-14T00:21:50Z
• Authors: Réjean Laprise; Robert Thivierge; Gilbert Gosselin; Maja Bujas-Bobanovic; Sylvie Vandal; Daniel Paquette; Micheline Luneau; Pierre Julien; Serge Goulet; Jean Desaulniers; Paule Maltais
• Keywords: Medical record

Introduction: It was hypothesized that after a continuing medical education (CME) event, practice enablers and reinforcers addressing main clinical barriers to preventive care would be more effective in improving general practitioners' (GPs) adherence cardiovascular guidelines than CME event only. Methods: A cluster-randomized trial conducted on convenience sample of 122 GPs who were randomly assigned either only (control group) or with (PER group). In the PER group, nurses visited GPs' offices once month implement intervention patients ≥ 55 years old scheduled visit following nurse visit: (1) screening records for potentially undermanaged high-risk patients; (2) prompting physicians reassess these (3) enclosing checklist reporting most recent information relevant guidelines' implementation; (4) summary experts' recommendations form follow-up treatment algorithm. Results: retrospective chart audit 2344 consenting patients, at baseline, demonstrated significantly improved compared alone (OR: 1.78, 95% CI: 1.32–2.41). Discussion: The designed self-implementation primary practices have their own nursing staff. highly satisfied intervention; majority said they it if someone trained nurse, thus suggesting support development multiprofessional program disseminate this approach groups.