Implementation of Surprise Question Assessments using the Electronic Health Record in Older Adults with Advanced CKD.

ABSTRACT:

Background

The Surprise Question (SQ; "Would you be surprised if this patient died in the next 12 months?") is a validated prognostication tool for mortality and hospitalization among patients with advanced CKD. Barriers in clinical workflows have slowed SQ implementation in practice.

Objectives

The aims of this study were: (1) to evaluate implementation outcomes after the use of electronic health record (EHR) decision support to automate the collection of the SQ; and (2) to assess the prognostic utility of the SQ for mortality and hospitalization/emergency room (ER) visits.

Methods

We developed and implemented a best practice alert (BPA) in the EHR to identify nephrology outpatients ≥60 years of age with an eGFR <30 ml/min per 1.73 m². At app

SUBMITTER: Ernecoff NC 

PROVIDER: S-EPMC8791363 | biostudies-literature | 2021 Jun

REPOSITORIES: biostudies-literature