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S. Haubrich

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  • EP02 - e-Poster Session 2 (ID 53)

    • Event: e-Health 2018 Virtual Meeting
    • Type: e-Poster Session
    • Track: Clinical Delivery
    • Presentations: 1
    • EP02.06 - Impact of a Clinical Decision-Support System on┬áDiagnosing Pulmonary Embolism (ID 308)

      S. Haubrich, O'Brien Institute for Public Health, W21C Research and Innovation Centre, University of Calgary; Calgary/CA

      • Abstract
      • Slides

      Purpose/Objectives: Pulmonary embolism (PE) is a serious condition that can be fatal if diagnostically missed. The aim of this study is to evaluate the impact of integrating a clinical decision-support system (CDSS) on diagnosis of PE in an inpatient hospital setting.

      Methodology/Approach: This is a mixed-methods study with an observational pre-post design. A CDSS for the diagnosis of PE has been designed to represent best practices in data visualization and uncertainty in presence of disease. This CDSS will be integrated into the computerized provider order entry system and set up to be triggered at key points in the PE diagnostic workflow at two hospital sites. Data will be accessed from clinical information systems and consist primarily of information about tests commonly requested for PE diagnosis and provider decision-making steps. Data will be collected for six months prior to deployment of this CDSS and again for six months after deployment. This data will be analyzed to determine pre- and post-intervention physician adherence scores. Adherence scores will be compared to determine what impact, if any, the CDSS has on physician adherence to diagnostic guidelines for PE. Similar data from a third hospital site will be collected and incorporated into the final analysis. This third hospital site will not have access to this CDSS for PE diagnosis and is designated as control site for outcome comparisons.

      Finding/Results: Based on previous work, the research team expects to see increased provider adherence to diagnostic guidelines for PE in settings where the tool has been implemented.

      Conclusion/Implications/Recommendations: Clinical decision-support systems have the potential to improve patient care and safety as a result of increased provider adherence to existing evidence-based guidelines. Work on PE is not the only condition for which diagnostic error is of concern, but this research may produce a template for the use of decision-support with other conditions. This pilot study is expected to launch in early 2018 with preliminary analyses available by late 2018.

      140 Character Summary: Pilot clinical study of the impact of a clinical decision-support system on provider adherence to guidelines for diagnosis of pulmonary embolism.

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