Deploying an Electronic Clinical Decision Support Tool for Diagnosis and Treatment of Pneumonia Into Rural and Critical Access Hospitals: Utilization, Effect on Processes of Care, and Clinician Satisfaction.

ABSTRACT:

Purpose

Electronic clinical decision support (CDS) for treatment of community-acquired pneumonia (ePNa) is associated with improved guideline adherence and decreased mortality. How rural providers respond to CDS developed for urban hospitals could shed light on extending CDS to resource-limited settings.

Methods

ePNa was deployed into 10 rural and critical access hospital emergency departments (EDs) in Utah and Idaho in 2018. We reviewed pneumonia cases identified through ICD-10 codes after local deployment to measure ePNa utilization and guideline adherence. ED providers were surveyed to assess quantitative and qualitative aspects of satisfaction.

Findings

ePNa was used in 109/301 patients with pneumonia (36%, range 0%-67% across hospitals) and was associated with ap

SUBMITTER: Carr JR 

PROVIDER: S-EPMC8149487 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature