Journal article
Development of an Electronic Medical Record-Based Clinical Decision Support Tool to Improve HIV Symptom Management
AIDS patient care and STDs, v 23(7), pp 521-529
Jul 2009
PMID: 19538046
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Common symptoms associated with HIV disease and its management are often underrecognized and undertreated. A clinical decision support tool for symptom management was developed within the Veterans Health Administration electronic medical record (EMR), aiming at increasing provider awareness of and response to common HIV symptoms. Its feasibility was studied in March to May 2007 by implementing it within a weekly HIV clinic, comparing a 4-week intervention period with a 4-week control period. Fifty-six patients and their providers participated in the study. Patients' perceptions of providers' awareness of their symptoms, proportion of progress notes mentioning any symptom(s) and proportion of care plans mentioning any symptom(s) were measured. The clinical decision support tool used portable electronic “tablets” to elicit symptom information at the time of check-in, filtered, and organized that information into a concise and clinically relevant EMR note available at the point of care, and facilitated clinical responses to that information. It appeared to be well accepted by patients and providers and did not substantially impact workflow. Although this pilot study was not powered to detect effectiveness, 25 (93%) patients in the intervention group reported that their providers were very aware of their symptoms versuas 27 (75%) control patients (
p
= 0.07). The proportion of providers' notes listing symptoms was similar in both periods; however, there was a trend toward including a greater number of symptoms in intervention period progress notes. The symptom support tool seemed to be useful in clinical HIV care. The Veterans Health Administration EMR may be an effective “laboratory” for developing and testing decision supports.
Metrics
Details
- Title
- Development of an Electronic Medical Record-Based Clinical Decision Support Tool to Improve HIV Symptom Management
- Creators
- Claudia M Nader - Department of MedicineJoel Tsevat - Department of Internal MedicineAmy C Justice - General Internal MedicineJoseph M Mrus - Tibotec Therapeutics, Bridgewater, New JerseyForrest Levin - General Internal MedicineMichael J Kozal - , West Haven, ConnecticutKristin Mattocks - General Internal MedicineSteven Farber - , West Haven, ConnecticutMichelle Rogers - , Cincinnati, OhioJoseph Erdos - , West Haven, ConnecticutCynthia Brandt - , West Haven, ConnecticutIan Kudel - , Cincinnati, OhioRonald Braithwaite - General Internal Medicine
- Publication Details
- AIDS patient care and STDs, v 23(7), pp 521-529
- Publisher
- Mary Ann Liebert, Inc; 140 Huguenot Street, 3rd FloorNew Rochelle, NY 10801USA
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Information Science
- Web of Science ID
- WOS:000268156800006
- Scopus ID
- 2-s2.0-69249135466
- Other Identifier
- 991014878124404721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Infectious Diseases
- Public, Environmental & Occupational Health