Impact of Integrating Public Health Clinical Decision Support Alerts Into Electronic Health Records on Testing for Gastrointestinal Illness

被引:5
作者
Wu, Winfred Y. [1 ]
Hripcsak, George [2 ]
Lurio, Joseph [3 ]
Pichardo, Michelle [3 ]
Berg, Rachel [3 ]
Buck, Michael D. [2 ]
Morrison, Frances P. [2 ]
Kitson, Kwame [3 ]
Calman, Neil [3 ]
Mostashari, Farzad
机构
[1] New York City Dept Hlth & Mental Hyg, Gotham Ctr, Primary Care Informat Project, Queens, NY 11101 USA
[2] Columbia Univ, Dept Biomed Informat, New York, NY USA
[3] Inst Family Hlth, New York, NY USA
关键词
clinical decision support systems; disease outbreaks; epidemiology; public health; SYSTEMS;
D O I
10.1097/PHH.0b013e318241555d
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Laboratory testing by clinicians is essential to outbreak investigations. Electronic health records may increase testing through clinical decision support that alerts providers about existing outbreaks and facilitates laboratory ordering. The impact on laboratory testing was evaluated for foodborne disease outbreaks between 2006 and 2009. After controlling for standard public health messaging and season, decision support resulted in a significant increase in laboratory testing and may be useful in enhancing public health messaging and provider action.
引用
收藏
页码:224 / 227
页数:4
相关论文
共 16 条
[1]  
Centers for Disease Control and Prevention, MULT OUTBR E COL O15
[2]  
Centers for Disease Control and Prevention, 2007, SALM WANDSW OUTBR IN
[3]  
Centers for Disease Control and Prevention (CDC), 2008, MMWR Morb Mortal Wkly Rep, V57, P929
[4]  
Centers for Medicare and Medicaid Services, OV EHR INC PROGR
[5]   Prompting clinicians about preventive care measures: A systematic review of randomized controlled trials [J].
Dexheimer, Judith W. ;
Talbot, Thomas R. ;
Sanders, David L. ;
Rosenbloom, S. Trent ;
Aronsky, Dominik .
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2008, 15 (03) :311-320
[6]   Effects of computerized clinical decision support systems on practitioner performance and patient outcomes - A systematic review [J].
Garg, AX ;
Adhikari, NKJ ;
McDonald, H ;
Rosas-Arellano, MP ;
Devereaux, PJ ;
Beyene, J ;
Sam, J ;
Haynes, RB .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2005, 293 (10) :1223-1238
[7]   Characterization of Public Health Alerts and Their Suitability for Alerting in Electronic Health Record Systems [J].
Garrett, Nedra Y. ;
Mishra, Ninad ;
Nichols, Barbara ;
Staes, Catherine J. ;
Akin, Chuck ;
Safran, Charles .
JOURNAL OF PUBLIC HEALTH MANAGEMENT AND PRACTICE, 2011, 17 (01) :77-83
[8]   Using electronic medical records to enhance detection and reporting of vaccine adverse events [J].
Hinrichsen, Virginia L. ;
Kruskal, Benjamin ;
O'Brien, Megan A. ;
Lieu, Tracy A. ;
Platt, Richard .
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2007, 14 (06) :731-735
[9]  
Koo D, 1999, Eff Clin Pract, V2, P247
[10]   Using electronic health record alerts to provide public health situational awareness to clinicians [J].
Lurio, Joseph ;
Morrison, Frances P. ;
Pichardo, Michelle ;
Berg, Rachel ;
Buck, Michael D. ;
Wu, Winfred ;
Kitson, Kwame ;
Mostashari, Farzad ;
Calman, Neil .
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2010, 17 (02) :217-219