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Appl Clin Inform 2024; 15(04): 751-755
DOI: 10.1055/a-2348-3958
Research Article

Clinical Decision Support Tool to Promote Adoption of New Neonatal Hyperbilirubinemia Guidelines

Lucia An
1   Department of Pediatrics at UCLA Mattel Children's Hospital, Los Angeles, California, United States
,
Paul J. Lukac 
2   Department of Pediatrics and Office of Health Informatics and Analytics, University of California, Los Angeles, California, United States
,
Deepa Kulkarni
1   Department of Pediatrics at UCLA Mattel Children's Hospital, Los Angeles, California, United States
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Abstract

Objective This study aimed to increase the adoption of revised newborn hyperbilirubinemia guidelines by building a clinical decision support (CDS) tool into templated notes.

Methods We created a rule-based CDS tool that correctly populates the phototherapy threshold from more than 2,700 possible values directly into the note and guides clinicians to an appropriate follow-up plan consistent with the new recommendations. We manually reviewed notes before and after CDS tool implementation to evaluate new guidelines adherence, and surveys were used to assess clinicians' perceptions.

Results Postintervention documentation showed a decrease in old risk stratification methods (48 to 0.4%, p < 0.01) and an increase in new phototherapy threshold usage (39 to 95%, p < 0.01) and inclusion of follow-up guidance (28 to 79%, p < 0.01). Survey responses on workflow efficiency and satisfaction did not significantly change after CDS tool implementation.

Conclusion Our study details an innovative CDS tool that contributed to increased adoption of newly revised guidelines after the addition of this tool to templated notes.

Keywords

hyperbilirubinemia - clinical decision support systems - pediatrics

Protection of Human and Animal Subjects

The study did not involve human and/or animal subjects. The study was determined to meet the criteria for exemption by the Institutional Review Board.


Authors' Contributions

P.J.L. and D.K. contributed equally and are considered co-principal investigators of this work.




Publikationsverlauf

Eingereicht: 15. April 2024

Angenommen: 18. Juni 2024

Accepted Manuscript online:
19. Juni 2024

Artikel online veröffentlicht:
11. September 2024

© 2024. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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