Clinical Decision Support for Recognition and Management of Hypertension: A Randomized Trial.

ABSTRACT: Although blood pressure (BP) is routinely measured in outpatient visits, elevated BP and hypertension are often not recognized. We evaluated whether an electronic health record-linked clinical decision support (CDS) tool could improve the recognition and management of hypertension in adolescents. We randomly assigned 20 primary care clinics within an integrated care system to CDS or usual care. At intervention sites, the CDS displayed BPs and percentiles, identified incident hypertension on the basis of current or previous BPs, and offered tailored order sets. The recognition of hypertension was identified by an automated review of diagnoses and problem lists and a manual review of clinical notes, antihypertensive medication prescriptions, and diagnostic testing. Generalized linear mixed m

SUBMITTER: Kharbanda EO 

PROVIDER: S-EPMC5810603 | biostudies-literature | 2018 Feb

REPOSITORIES: biostudies-literature