In:
eGEMs (Generating Evidence & Methods to improve patient outcomes), Ubiquity Press, Ltd., Vol. 3, No. 2 ( 2015-07-09), p. 9-
Abstract:
Context: Blood pressure (BP) is routinely measured in children and adolescents
during primary care visits. However, elevated BP or hypertension is frequently not diagnosed or evaluated further by primary care providers. Barriers to recognition
include lack of clinician buy-in, competing priorities, and complexity of the standard BP tables.Case Description: We have developed and piloted TeenBP— a web-based,
electronic health record (EHR) linked system designed to improve recognition of prehypertension and hypertension in adolescents during primary care visits.Major
Themes: Important steps in developing TeenBP included the following: review of national BP guidelines, consideration of clinic workflow, engagement of clinical leaders, and
evaluation of the impact on clinical sites. Use of a web-based platform has facilitated updates to the TeenBP algorithm and to the message content. In addition, the web-based
platform has allowed for development of a sophisticated display of patient-specific information at the point of care. In the TeenBP pilot, conducted at a single pediatric
and family practice site with six clinicians, over a five-month period, more than half of BPs in the hypertensive range were clinically recognized. Furthermore, in this small
pilot the TeenBP clinical decision support (CDS) was accepted by providers and clinical staff. Effectiveness of the TeenBP CDS will be determined in a two-year
cluster-randomized clinical trial, currently underway at 20 primary care sites.Conclusion: Use of technology to extract and display clinically relevant data
stored within the EHR may be a useful tool for improving recognition of adolescent hypertension during busy primary care visits. In the future, the methods developed
specifically for TeenBP are likely to be translatable to a wide range of acute and chronic issues affecting children and adolescents.
Type of Medium:
Online Resource
ISSN:
2327-9214
DOI:
10.13063/2327-9214.1142
Language:
Unknown
Publisher:
Ubiquity Press, Ltd.
Publication Date:
2015
detail.hit.zdb_id:
2734659-6
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