EMR-Based Intervention Improves Lead Screening at an Urban Family Medicine Practice.
Fam Med
; 48(10): 801-804, 2016 Nov.
Article
em En
| MEDLINE
| ID: mdl-27875603
ABSTRACT
BACKGROUND AND OBJECTIVES:
Elevated blood lead levels have well-described detrimental effects to growth and development in children, yet screening rates remain low. We sought to determine if a reminder within the electronic health record (EHR) could change provider behavior and improve blood lead level (BLL) screening test ordering rates in an urban academic family medicine practice.METHODS:
Baseline BLL test ordering rates were calculated for children ages 9-72 months. An update adding reminders to screen was made to the electronic note template used during pediatric well and sick visits at the practice. Data from the 10-week periods both before and after the change was made were compared through a retrospective chart review.RESULTS:
A total of 210 children were seen during the pre-intervention period. Forty-eight percent (n=101) had already been screened. Of the 109 eligible for screening, 23 had tests ordered, and 18 of those had tests completed. Eighty-four children were eligible for screening in the post-intervention period. Forty-one of those children had tests ordered, and 15 had tests completed. Provider ordering rates increased from 21% of eligible patients to 49%. Test completion rates only increased from 17% to 18%.CONCLUSIONS:
An electronic note-based reminder system significantly improves provider ordering rates of BLL tests. Researchers are currently investigating how the use of point-of-care BLL sample collection can improve test completion rates and therefore increase the frequency of successful screening.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Contexto em Saúde:
1_ASSA2030
Problema de saúde:
1_sistemas_informacao_saude
Assunto principal:
População Urbana
/
Programas de Rastreamento
/
Medicina de Família e Comunidade
/
Registros Eletrônicos de Saúde
/
Chumbo
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Screening_studies
Aspecto:
Determinantes_sociais_saude
Limite:
Child
/
Child, preschool
/
Humans
/
Infant
Idioma:
En
Revista:
Fam Med
Ano de publicação:
2016
Tipo de documento:
Article
País de afiliação:
Panamá