A Pragmatic Cluster Randomized Trial of an Electronic Clinical Decision Support System to Improve Chronic Kidney Disease Management in Primary Care: Design, Rationale, and Implementation Experience.

ABSTRACT:

Background

The diagnosis of chronic kidney disease (CKD) is based on laboratory results easily extracted from electronic health records; therefore, CKD identification and management is an ideal area for targeted electronic decision support efforts. Early CKD management frequently occurs in primary care settings where primary care providers (PCPs) may not implement all the best practices to prevent CKD-related complications. Few previous studies have employed randomized trials to assess a CKD electronic clinical decision support system (eCDSS) that provided recommendations to PCPs tailored to each patient based on laboratory results.

Objective

The aim of this study was to report the trial design and implementation experience of a CKD eCDSS in primary care.

Methods

This

SUBMITTER: Khoong EC 

PROVIDER: S-EPMC6594214 | biostudies-literature | 2019 Jun

REPOSITORIES: biostudies-literature