Impact of Clinical Decision Support on Radiography for Acute Ankle Injuries: A Randomized Trial.

ABSTRACT:

Introduction

While only 15-20% of patients with foot and ankle injuries presenting to urgent care centers have clinically significant fractures, most undergo radiography. We examined the impact of electronic point-of-care clinical decision support (CDS) on adherence to the Ottawa Ankle Rules (OAR), as well as use and yield of foot and ankle radiographs in patients with acute ankle injury.

Methods

We obtained institutional review board approval for this randomized controlled study performed April 18, 2012-December 15, 2013. All ordering providers credentialed at an urgent care affiliated with a quaternary care academic hospital were randomized to either receive or not receive CDS, based on the OAR and integrated into the physician order-entry system, with feedback at the time

SUBMITTER: Tajmir S 

PROVIDER: S-EPMC5391900 | biostudies-literature | 2017 Apr

REPOSITORIES: biostudies-literature