Prognostic clinical decision support for pneumonia in the emergency department: A randomized trial.

ABSTRACT:

Background

Hospitalization rates for childhood pneumonia vary widely. Risk-based clinical decision support (CDS) interventions may reduce unwarranted variation.

Methods

We conducted a pragmatic randomized trial in two US pediatric emergency departments (EDs) comparing electronic health record (EHR)-integrated prognostic CDS versus usual care for promoting appropriate ED disposition in children (<18 years) with pneumonia. Encounters were randomized 1:1 to usual care versus custom CDS featuring a validated pneumonia severity score predicting risk for severe in-hospital outcomes. Clinicians retained full decision-making authority. The primary outcome was inappropriate ED disposition, defined as early transition to lower- or higher-level care. Safety and implementation outcomes

SUBMITTER: Williams DJ 

PROVIDER: S-EPMC11374114 | biostudies-literature | 2024 Sep

REPOSITORIES: biostudies-literature