Adoption of electronic medical record-based decision support for otitis media in children.

ABSTRACT:

Objective

Substantial investment in electronic health records (EHRs) has provided an unprecedented opportunity to use clinical decision support (CDS) to increase guideline adherence. To inform efforts to maximize adoption, we characterized the adoption of an otitis media (OM) CDS system, the impact of performance feedback on adoption, and the effects of adoption on guideline adherence.

Study setting

A total of 41,391 OM visits with 108 clinicians at 16 pediatric practices between February 2009 and August 2010.

Study design

Prospective cohort study of EHR-based CDS adoption during OM visits, comparing clinicians receiving performance feedback to none. CDS was available to all physicians; use was voluntary.

Data collection

Extraction from a common EHR.

Princip

SUBMITTER: Fiks AG 

PROVIDER: S-EPMC4369219 | biostudies-literature | 2015 Apr

REPOSITORIES: biostudies-literature