Performance of an Electronic Decision Support System as a Therapeutic Intervention During a Multicenter PICU Clinical Trial: Heart and Lung Failure-Pediatric Insulin Titration Trial (HALF-PINT).

ABSTRACT:

Background

The use of electronic clinical decision support (CDS) systems for pediatric critical care trials is rare. We sought to describe in detail the use of a CDS tool (Children's Hospital Euglycemia for Kids Spreadsheet [CHECKS]), for the management of hyperglycemia during the 32 multicenter Heart And Lung Failure-Pediatric Insulin Titration trial.

Research question

In critically ill pediatric patients who were treated with CHECKS, how was user compliance associated with outcomes; and what patient and clinician factors might account for the observed differences in CHECKS compliance?

Study design and methods

During an observational retrospective study of compliance with a CDS tool used during a prospective randomized controlled trial, we compared patients with high

SUBMITTER: Hirshberg EL 

PROVIDER: S-EPMC8449010 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature