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- W2807118081 abstract "Objective: This quality improvement project was undertaken to evaluate the effectiveness of implementation of -Assessment of Obstructive Sleep Apnea (AOSA), an electronic health record (EHR) alert and risk assessment tool, on the percentage of referrals for polysomnography (PSG) for all patients > 18 years of age with epilepsy. Background: Prior studies have reported that patients with epilepsy have a higher prevalence of obstructive sleep apnea (OSA) that can be a major contributor to poor seizure control. Treatment of OSA improves seizure control. Hence, improved detection and management of OSA may be beneficial in patients with epilepsy. Design/Methods: A three-month retrospective chart review was conducted of all patients > 18 years of age seen in our epilepsy clinic. Then, AOSA alert with a check list of risk factors for OSA was created in EHR. AOSA was used to screen patients prospectively for a second three-month period. Patients with ≥ 2 risk factors were referred for PSG. Chi squared test was used to demonstrate whether there was any statistically significant difference in number of patients referred for PSG with and without EHR alert. Results: The retrospective chart review revealed that out of the 346 patients, 25 (7.23%) were evaluated for their sleeping habits and referred for PSG. After AOSA implementation, of the 414 patients seen in the clinic, 405 were screened, of which 134 (33.1 %) patients met criteria for referral for PSG which was significantly more than prior to AOSA implementation ( p Conclusions: An intervention with an AOSA cued in the EHR demonstrated significantly improved identification of patients at risk for OSA and referral for PSG. AOSA is a practical quality improving tool that can be enabled in EHR. Disclosure: Dr. Gupta has nothing to disclose. Dr. Mulvey has nothing to disclose. Dr. Ming has received personal compensation in an editorial capacity for No compensation received, but serve as editor for Journal of Pediatric Neurology." @default.
- W2807118081 created "2018-06-13" @default.
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- W2807118081 date "2018-04-10" @default.
- W2807118081 modified "2023-09-27" @default.
- W2807118081 title "The Effects of Assessing Obstructive Sleep Apnea Using a Prompt in the Electronic Health Record in Adult Patients with Epilepsy. (P6.261)" @default.
- W2807118081 hasPublicationYear "2018" @default.
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