A multi-site randomized trial of a clinical decision support intervention to improve problem list completeness.

ABSTRACT:

Objective

To improve problem list documentation and care quality.

Materials and methods

We developed algorithms to infer clinical problems a patient has that are not recorded on the coded problem list using structured data in the electronic health record (EHR) for 12 clinically significant heart, lung, and blood diseases. We also developed a clinical decision support (CDS) intervention which suggests adding missing problems to the problem list. We evaluated the intervention at 4 diverse healthcare systems using 3 different EHRs in a randomized trial using 3 predetermined outcome measures: alert acceptance, problem addition, and National Committee for Quality Assurance Healthcare Effectiveness Data and Information Set (NCQA HEDIS) clinical quality measures.

Results

The

SUBMITTER: Wright A 

PROVIDER: S-EPMC10114117 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature