Evaluation of an Electronic Clinical Decision Support Tool for Incident Elevated BP in Adolescents.

ABSTRACT:

Objective

To evaluate, among adolescents 10 to 17 years of age with an incident hypertensive blood pressure (BP; ≥95th percentile) at a primary care visit, whether TeenBP, a novel electronic health record-linked clinical decision support tool (CDS), improved recognition of elevated BP, and return for follow-up BP evaluation.

Methods

We conducted a pragmatic cluster randomized trial in 20 primary care clinics in a large Midwestern medical group. Ten clinics received the TeenBP CDS, including an alert to remeasure a hypertensive BP at that visit, an alert that a hypertensive BP should be repeated in 1 to 3 weeks, and patient-specific order sets. In the 10 usual care (UC) clinics, elevated BPs were displayed in red font in the electronic health record. For comparisons between C

SUBMITTER: Kharbanda EO 

PROVIDER: S-EPMC5756693 | biostudies-literature | 2018 Jan - Feb

REPOSITORIES: biostudies-literature