Implementing Evidence-Based, Electronic, Substance-Use Screening in a Primary Care Clinic.
Substance use is common among adolescents, and among those with substance use disorders; use often persists into middle age, underlying the importance of early detection and treatment. The goal of this quality improvement project was to increase the electronic substance use screening rate of adolesc...
| Publicado en: | Journal of Adolescent Health Vol. 73; no. 1; pp. 127 - 133 |
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| Autores principales: | , , , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
Jul2023
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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=164089219&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 164089219 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1054139X ILK jtl: Journal of Adolescent Health issn: 1054139X maglogo: N pubinfo: dt: Jul2023 vid: 73 iid: 1 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 164089219 164089219 164089219 10.1016/j.jadohealth.2023.02.010 164089219 ppf: 127 ppct: 6 formats: tig: atl: Implementing Evidence-Based, Electronic, Substance-Use Screening in a Primary Care Clinic. aug: au: Ebersole, Ashley M. Gallup, James Rockwell, Aparna Patel, Anup D. Bonny, Andrea E. affil: Division of Adolescent Medicine, Department of Pediatrics, Nationwide Children's Hospital, Columbus, Ohio sug: subj: Implementation Science Medical Practice, Evidence-Based Quality Improvement Electronic Health Records Substance Use Disorders Diagnosis Health Screening Methods Primary Health Care Preventive Health Care Human Adolescence Record Review Descriptive Statistics Early Diagnosis Clinical Assessment Tools Adolescent: 13-18 years ab: Substance use is common among adolescents, and among those with substance use disorders; use often persists into middle age, underlying the importance of early detection and treatment. The goal of this quality improvement project was to increase the electronic substance use screening rate of adolescents presenting for preventative health visits from 0% to 50% between March 2021 and September 2021. This is an ongoing quality improvement project. Participants included patients ≥12 who presented to the Adolescent Medicine Clinic for preventative health visits. We incorporated the Screening to Brief Intervention into the existing Car, Relax, Alone, Forget, Friends, Trouble tool within the electronic health record. We completed a Plan-Do-Study-Act cycle by reviewing every patient's chart who did not receive screening and identified that a common reason for missed screening was designating the visit as "establishing care" rather than preventative health visit. We modified our eligible patient criteria to include all adolescents presenting to establish primary care. We achieved a statistically significant center-line shift with a p value (<.001) from approximately 0% at baseline to a new baseline of 85% from June 2021 to June 2022. After broadening our eligibility criteria, our electronic screening rate improved from 78% in November 2021, to 83% in December 2021. Electronic health record integration of the Screening to Brief Intervention/Car, Relax, Alone, Forget, Friends, Trouble is an effective method to systematically and electronically screen adolescents for SUD at preventative health visits. Integration using similar approaches may benefit other institutions interested in providing standardized SUD screening. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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