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Use of a clinical decision support system to increase osteoporosis screening
BACKGROUND: In 2002, the US Preventive Services Task Force recommended routine osteoporosis screening for women aged 65 years or older. However, studies have indicated that osteoporosis remains underdiagnosed, and various methods such as the use of health information technology have been tried to in...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Blackwell Publishing Ltd
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3303889/ https://www.ncbi.nlm.nih.gov/pubmed/20722888 http://dx.doi.org/10.1111/j.1365-2753.2010.01528.x |
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author | DeJesus, Ramona S Angstman, Kurt B Kesman, Rebecca Stroebel, Robert J Bernard, Matthew E Scheitel, Sidna M Hunt, Vicki L Rahman, Ahmed S Chaudhry, Rajeev |
author_facet | DeJesus, Ramona S Angstman, Kurt B Kesman, Rebecca Stroebel, Robert J Bernard, Matthew E Scheitel, Sidna M Hunt, Vicki L Rahman, Ahmed S Chaudhry, Rajeev |
author_sort | DeJesus, Ramona S |
collection | PubMed |
description | BACKGROUND: In 2002, the US Preventive Services Task Force recommended routine osteoporosis screening for women aged 65 years or older. However, studies have indicated that osteoporosis remains underdiagnosed, and various methods such as the use of health information technology have been tried to increase screening rates. We investigated whether we could boost the low rates of bone mineral density testing with implementation of a point-of-care clinical decision support system in our primary care practice. METHODS: We retrospectively reviewed the medical records of female patients eligible for osteoporosis screening who had no prior bone mineral density test who were seen at our primary care practice sites in 2007 or 2008 (before and after implementation of a point-of-care clinical decision support system). RESULTS: Overall, screening rates were 80.1% in 2007 and 84.1% in 2008 (P < 0.001). Of patients who did not have osteoporosis screening before the visit, 5.87% completed the screening after the visit in 2007, compared with 9.79% in 2008 (when the clinical support system was implemented), a 66.7% improvement (P = 0.025). CONCLUSION: Clinical decision support for primary care doctors significantly improved osteoporosis screening rates among eligible women. Carefully designed clinical decision support systems can optimize care delivery, ensuring that important preventive services such as osteoporosis screening for patients at risk for fracture are performed while unnecessary testing is avoided. |
format | Online Article Text |
id | pubmed-3303889 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Blackwell Publishing Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-33038892012-03-15 Use of a clinical decision support system to increase osteoporosis screening DeJesus, Ramona S Angstman, Kurt B Kesman, Rebecca Stroebel, Robert J Bernard, Matthew E Scheitel, Sidna M Hunt, Vicki L Rahman, Ahmed S Chaudhry, Rajeev J Eval Clin Pract Original Articles BACKGROUND: In 2002, the US Preventive Services Task Force recommended routine osteoporosis screening for women aged 65 years or older. However, studies have indicated that osteoporosis remains underdiagnosed, and various methods such as the use of health information technology have been tried to increase screening rates. We investigated whether we could boost the low rates of bone mineral density testing with implementation of a point-of-care clinical decision support system in our primary care practice. METHODS: We retrospectively reviewed the medical records of female patients eligible for osteoporosis screening who had no prior bone mineral density test who were seen at our primary care practice sites in 2007 or 2008 (before and after implementation of a point-of-care clinical decision support system). RESULTS: Overall, screening rates were 80.1% in 2007 and 84.1% in 2008 (P < 0.001). Of patients who did not have osteoporosis screening before the visit, 5.87% completed the screening after the visit in 2007, compared with 9.79% in 2008 (when the clinical support system was implemented), a 66.7% improvement (P = 0.025). CONCLUSION: Clinical decision support for primary care doctors significantly improved osteoporosis screening rates among eligible women. Carefully designed clinical decision support systems can optimize care delivery, ensuring that important preventive services such as osteoporosis screening for patients at risk for fracture are performed while unnecessary testing is avoided. Blackwell Publishing Ltd 2012-02 /pmc/articles/PMC3303889/ /pubmed/20722888 http://dx.doi.org/10.1111/j.1365-2753.2010.01528.x Text en © 2010 Blackwell Publishing Ltd http://creativecommons.org/licenses/by/2.5/ Re-use of this article is permitted in accordance with the Creative Commons Deed, Attribution 2.5, which does not permit commercial exploitation. |
spellingShingle | Original Articles DeJesus, Ramona S Angstman, Kurt B Kesman, Rebecca Stroebel, Robert J Bernard, Matthew E Scheitel, Sidna M Hunt, Vicki L Rahman, Ahmed S Chaudhry, Rajeev Use of a clinical decision support system to increase osteoporosis screening |
title | Use of a clinical decision support system to increase osteoporosis screening |
title_full | Use of a clinical decision support system to increase osteoporosis screening |
title_fullStr | Use of a clinical decision support system to increase osteoporosis screening |
title_full_unstemmed | Use of a clinical decision support system to increase osteoporosis screening |
title_short | Use of a clinical decision support system to increase osteoporosis screening |
title_sort | use of a clinical decision support system to increase osteoporosis screening |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3303889/ https://www.ncbi.nlm.nih.gov/pubmed/20722888 http://dx.doi.org/10.1111/j.1365-2753.2010.01528.x |
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