Background: Adverse drug events (ADEs) are responsible for up to 770,000 inpatient injuries and deaths annually in the United States, most of which are from prescribing errors. Electronic order sets are designed to improve quality by reducing care variability and increasing efficiency of order entry, but may also facilitate prescribing errors via automation bias. There [...]

Background: Several studies attest the effectiveness of physician order set, also known as Power Plan (PP) in standardizing patient care and improving outcomes. In general, PP use is suboptimal. We hypothesized that PP use in patients admitted with Chronic Obstructive Pulmonary Disease (COPD) assists in  standardization and appropriateness of inpatient management. Methods: We conducted a [...]

Background: Alcohol use disorder (AUD) has a lifetime prevalence of 29% in the United States and prevalence is higher among military veterans. Discontinuation of alcohol use in patients with AUD presents a risk for alcohol withdrawal syndrome (AWS). A recent retrospective analysis of Veterans Health Administration (VHA) data estimated AWS occurred in 5.8% of inpatient [...]

Background: Over the past fifty years, remote cardiac monitoring (“telemetry”) has become routine for many patients admitted to the hospital. Telemetry has many clinical benefits and is recommended by the American Heart Association for a limited set of indications, but is often inappropriately used. Overutilization of telemetry can lead to unnecessary tests and procedures, may [...]

Background: In light of increasing healthcare costs, diagnostic stewardship is an important component of providing high-value healthcare. Order sets, a collection of orders aggregated in a single location for a given diagnosis, condition, or treatment, are designed to promote adherence to evidence-based practices and reduce variability in care—both known drivers of high-value care (Atlas SJ [...]