Barriers to Adoption of a Child-Abuse Clinical Decision Support System in Emergency Departments.

ABSTRACT:

Introduction

Child abuse is a leading cause of morbidity and mortality in children. The rate of missed child abuse in general emergency departments (ED), where 85% of children are evaluated, is higher than in pediatric EDs. We sought to evaluate the impact of an electronic health record (EHR)-embedded child-abuse clinical decision support system (CA-CDSS) in the identification and evaluation of child maltreatment in a network of EDs three years after implementation.

Methods

We anonymously surveyed all 196 ED attending physicians and advanced practice practitioners (APP) in the University of Pittsburgh Medical Center network. The survey evaluated practitioner awareness of, attitudes toward, and changes in clinical practice prompted by the CA-CDSS. We also assessed practitione

SUBMITTER: Peterson AC 

PROVIDER: S-EPMC11610743 | biostudies-literature | 2024 Nov

REPOSITORIES: biostudies-literature