Clinical Decision Support Tool to Promote Adoption of New Neonatal Hyperbilirubinemia Guidelines.

IF 2.1 2区医学 Q4 MEDICAL INFORMATICS

Applied Clinical Informatics Pub Date : 2024-08-01 Epub Date: 2024-06-19 DOI:10.1055/a-2348-3958

Lucia An, Paul J Lukac, Deepa Kulkarni

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引用次数: 0

Abstract

Objective: This study aimed to increase the adoption of revised newborn hyperbilirubinemia guidelines by building a clinical decision support (CDS) tool into templated notes.

Methods: We created a rule-based CDS tool that correctly populates the phototherapy threshold from more than 2,700 possible values directly into the note and guides clinicians to an appropriate follow-up plan consistent with the new recommendations. We manually reviewed notes before and after CDS tool implementation to evaluate new guidelines adherence, and surveys were used to assess clinicians' perceptions.

Results: Postintervention documentation showed a decrease in old risk stratification methods (48 to 0.4%, p < 0.01) and an increase in new phototherapy threshold usage (39 to 95%, p < 0.01) and inclusion of follow-up guidance (28 to 79%, p < 0.01). Survey responses on workflow efficiency and satisfaction did not significantly change after CDS tool implementation.

Conclusion: Our study details an innovative CDS tool that contributed to increased adoption of newly revised guidelines after the addition of this tool to templated notes.

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促进采用新生儿高胆红素血症新指南的临床决策支持工具。

目的通过将临床决策支持（CDS）工具构建到模板化病历中，提高新生儿高胆红素血症指南修订版的采用率：我们创建了一个基于规则的 CDS 工具，该工具可从 2700 多个可能值中直接将光疗阈值正确填入笔记中，并指导临床医生制定符合新建议的适当随访计划。我们对 CDS 工具实施前后的记录进行了人工审核，以评估新指南的遵循情况，并通过调查来评估临床医生的看法：结果：干预后的记录显示，旧的风险分层方法有所减少（从 48% 降至 0.4%，p 结论：我们的研究详细介绍了创新的 CDS 工具：我们的研究详细介绍了一种创新的 CDS 工具，在模板化笔记中添加该工具后，新修订指南的采用率有所提高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Applied Clinical Informatics MEDICAL INFORMATICS-

CiteScore

4.60

自引率

24.10%

发文量

132

期刊介绍： ACI is the third Schattauer journal dealing with biomedical and health informatics. It perfectly complements our other journals Öffnet internen Link im aktuellen FensterMethods of Information in Medicine and the Öffnet internen Link im aktuellen FensterYearbook of Medical Informatics. The Yearbook of Medical Informatics being the “Milestone” or state-of-the-art journal and Methods of Information in Medicine being the “Science and Research” journal of IMIA, ACI intends to be the “Practical” journal of IMIA.