Abstract
Lack of guideline adherence in medication prescribing is a concern for heart failure patients with reduced ejection fraction. The purpose of this study is to evaluate the effectiveness of a provider reminder tool with decision support in prescribing for outpatients. A pre-post interventional design was used to measure prescribing and titration of class I medications with implementation of the tool in a convenience sample (N = 120) of consecutive provider-patient encounters. Compliance with renin-angiotensin-aldosterone system inhibitors, beta blockers, and hydralazine–isosorbide dinitrate improved. Compliance to mineralocorticoid receptor antagonists showed significant improvement. Uptitration of beta blockers and renin-angiotensin-aldosterone system inhibitors was achieved.
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