Clinical Decision Support for Hyperbilirubinemia Risk Assessment in the Electronic Health Record.
Physiologic neonatal hyperbilirubinemia (jaundice) is common and affects most newborn infants. However, there is a risk for permanent neurological damage if the bilirubin levels rise above a certain threshold. The management of neonatal jaundice includes the assessment of bilirubin laboratory values...
| Publicado en: | Academic Pediatrics Vol. 20; no. 6; pp. 857 - 863 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
Aug2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=144689794&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 144689794 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18762859 8NBK jtl: Academic Pediatrics issn: 18762859 maglogo: N pubinfo: dt: Aug2020 vid: 20 iid: 6 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 144689794 144689794 144689794 10.1016/j.acap.2020.02.009 144689794 ppf: 857 ppct: 6 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Clinical Decision Support for Hyperbilirubinemia Risk Assessment in the Electronic Health Record. aug: au: Petersen, John D. Lozovatsky, Margaret Markovic, Daniela Duncan, Ray Zheng, Simon Shamsian, Arash Kagele, Sonya Ross, Mindy K. affil: Olive View-UCLA Medical Center (JD Petersen), Sylmar, Calif sug: subj: Decision Support Techniques Hyperbilirubinemia Risk Assessment Electronic Health Records Human Decision Making, Clinical Jaundice, Neonatal ab: Physiologic neonatal hyperbilirubinemia (jaundice) is common and affects most newborn infants. However, there is a risk for permanent neurological damage if the bilirubin levels rise above a certain threshold. The management of neonatal jaundice includes the assessment of bilirubin laboratory values, consideration of patient-specific risk factors, and plotting on a bilirubin nomogram reference to determine risk and guide therapy. When performed manually, the process can be time consuming and error-prone. Therefore, web-based calculators such as BiliTool have been developed to assist in risk assessment. To streamline the risk assessment calculation process further within our electronic health record (EHR), we created a "BiliReport" to display patient bilirubin-related data and automate transmission of deidentified patient data to the BiliTool website (https://bilitool.org). After implementation, we evaluated usage data, provider satisfaction, and accuracy of documentation. We demonstrated high provider use of the BiliReport and satisfaction with the workflow. We found a significant improvement in the accuracy of bilirubin risk level documentation, with a reduction in erroneous risk stratification from 4% (15/232) to 0.4% (1/243), P < 0.001. We did not find significant a difference in erroneous documentation of the bilirubin lab value (P = 0.07). Integrating the neonatal hyperbilirubinemia risk assessment process into the EHR may reduce errors and improve provider documentation and adherence to recommended guidelines. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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