Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Blackwell Publishing Ltd 2012
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
_version_ 1782226814562729984
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
work_keys_str_mv AT dejesusramonas useofaclinicaldecisionsupportsystemtoincreaseosteoporosisscreening
AT angstmankurtb useofaclinicaldecisionsupportsystemtoincreaseosteoporosisscreening
AT kesmanrebecca useofaclinicaldecisionsupportsystemtoincreaseosteoporosisscreening
AT stroebelrobertj useofaclinicaldecisionsupportsystemtoincreaseosteoporosisscreening
AT bernardmatthewe useofaclinicaldecisionsupportsystemtoincreaseosteoporosisscreening
AT scheitelsidnam useofaclinicaldecisionsupportsystemtoincreaseosteoporosisscreening
AT huntvickil useofaclinicaldecisionsupportsystemtoincreaseosteoporosisscreening
AT rahmanahmeds useofaclinicaldecisionsupportsystemtoincreaseosteoporosisscreening
AT chaudhryrajeev useofaclinicaldecisionsupportsystemtoincreaseosteoporosisscreening