Matches in SemOpenAlex for { <https://semopenalex.org/work/W4313702925> ?p ?o ?g. }
Showing items 1 to 87 of
87
with 100 items per page.
- W4313702925 endingPage "105" @default.
- W4313702925 startingPage "98" @default.
- W4313702925 abstract "Abstract Background Despite improving supplies, SARS-CoV-2 nucleic acid amplification tests remain limited during surges and more so given concerns around COVID-19/influenza co-occurrence. Matching clinical guidelines to available supplies ensures resources remain available to meet clinical needs. We report a change in clinician practice after an electronic health record (EHR) order redesign to impact emergency department (ED) testing patterns. Methods We included all ED visits between December 1, 2021 and January 18, 2022 across a hospital system to assess the impact of EHR order changes on provider behavior 3 weeks before and after the change. The EHR order redesign included embedded symptom-based order guidance. Primary outcomes were the proportion of COVID-19 + flu/respiratory syncytial virus (RSV) testing performed on symptomatic, admitted, and discharged patients, and the proportion of COVID-19 + flu testing on symptomatic, discharged patients. Results A total of 52 215 ED visits were included. For symptomatic, discharged patients, COVID-19 + flu/RSV testing decreased from 11.4 to 5.8 tests per 100 symptomatic visits, and the rate of COVID-19 + flu testing increased from 7.4 to 19.1 before and after the intervention, respectively. The rate of COVID-19 + flu/RSV testing increased from 5.7 to 13.1 tests per 100 symptomatic visits for symptomatic patients admitted to the hospital. All changes were significant (P < 0.0001). Conclusions A simple EHR order redesign was associated with increased adherence to institutional guidelines for SARS-CoV-2 and influenza testing amidst supply chain limitations necessitating optimal allocation of scarce testing resources. With continually shifting resource availability, clinician education is not sufficient. Rather, system-based interventions embedded within exiting workflows can better align resources and serve testing needs of the community." @default.
- W4313702925 created "2023-01-08" @default.
- W4313702925 creator A5016668245 @default.
- W4313702925 creator A5017439649 @default.
- W4313702925 creator A5057033020 @default.
- W4313702925 creator A5060456823 @default.
- W4313702925 creator A5069626436 @default.
- W4313702925 date "2023-01-04" @default.
- W4313702925 modified "2023-09-27" @default.
- W4313702925 title "Choice Architecture to Assist Clinicians with Appropriate COVID-19 Test Ordering" @default.
- W4313702925 cites W1966260953 @default.
- W4313702925 cites W1970403264 @default.
- W4313702925 cites W1979999015 @default.
- W4313702925 cites W1988905434 @default.
- W4313702925 cites W2010646000 @default.
- W4313702925 cites W2346814295 @default.
- W4313702925 cites W2987942755 @default.
- W4313702925 cites W3111103652 @default.
- W4313702925 cites W3121601491 @default.
- W4313702925 cites W3195089052 @default.
- W4313702925 cites W3198003336 @default.
- W4313702925 cites W4200175673 @default.
- W4313702925 doi "https://doi.org/10.1093/jalm/jfac104" @default.
- W4313702925 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/36610419" @default.
- W4313702925 hasPublicationYear "2023" @default.
- W4313702925 type Work @default.
- W4313702925 citedByCount "0" @default.
- W4313702925 crossrefType "journal-article" @default.
- W4313702925 hasAuthorship W4313702925A5016668245 @default.
- W4313702925 hasAuthorship W4313702925A5017439649 @default.
- W4313702925 hasAuthorship W4313702925A5057033020 @default.
- W4313702925 hasAuthorship W4313702925A5060456823 @default.
- W4313702925 hasAuthorship W4313702925A5069626436 @default.
- W4313702925 hasBestOaLocation W43137029251 @default.
- W4313702925 hasConcept C126322002 @default.
- W4313702925 hasConcept C159110408 @default.
- W4313702925 hasConcept C160735492 @default.
- W4313702925 hasConcept C162324750 @default.
- W4313702925 hasConcept C177713679 @default.
- W4313702925 hasConcept C194828623 @default.
- W4313702925 hasConcept C2779134260 @default.
- W4313702925 hasConcept C2780724011 @default.
- W4313702925 hasConcept C3007834351 @default.
- W4313702925 hasConcept C3008058167 @default.
- W4313702925 hasConcept C3020144179 @default.
- W4313702925 hasConcept C50522688 @default.
- W4313702925 hasConcept C524204448 @default.
- W4313702925 hasConcept C545542383 @default.
- W4313702925 hasConcept C71924100 @default.
- W4313702925 hasConcept C82157600 @default.
- W4313702925 hasConceptScore W4313702925C126322002 @default.
- W4313702925 hasConceptScore W4313702925C159110408 @default.
- W4313702925 hasConceptScore W4313702925C160735492 @default.
- W4313702925 hasConceptScore W4313702925C162324750 @default.
- W4313702925 hasConceptScore W4313702925C177713679 @default.
- W4313702925 hasConceptScore W4313702925C194828623 @default.
- W4313702925 hasConceptScore W4313702925C2779134260 @default.
- W4313702925 hasConceptScore W4313702925C2780724011 @default.
- W4313702925 hasConceptScore W4313702925C3007834351 @default.
- W4313702925 hasConceptScore W4313702925C3008058167 @default.
- W4313702925 hasConceptScore W4313702925C3020144179 @default.
- W4313702925 hasConceptScore W4313702925C50522688 @default.
- W4313702925 hasConceptScore W4313702925C524204448 @default.
- W4313702925 hasConceptScore W4313702925C545542383 @default.
- W4313702925 hasConceptScore W4313702925C71924100 @default.
- W4313702925 hasConceptScore W4313702925C82157600 @default.
- W4313702925 hasIssue "1" @default.
- W4313702925 hasLocation W43137029251 @default.
- W4313702925 hasLocation W43137029252 @default.
- W4313702925 hasOpenAccess W4313702925 @default.
- W4313702925 hasPrimaryLocation W43137029251 @default.
- W4313702925 hasRelatedWork W2026095104 @default.
- W4313702925 hasRelatedWork W2061619006 @default.
- W4313702925 hasRelatedWork W2510700473 @default.
- W4313702925 hasRelatedWork W2613637409 @default.
- W4313702925 hasRelatedWork W3128598848 @default.
- W4313702925 hasRelatedWork W3142017309 @default.
- W4313702925 hasRelatedWork W3157376802 @default.
- W4313702925 hasRelatedWork W3158122679 @default.
- W4313702925 hasRelatedWork W3198269889 @default.
- W4313702925 hasRelatedWork W4297485698 @default.
- W4313702925 hasVolume "8" @default.
- W4313702925 isParatext "false" @default.
- W4313702925 isRetracted "false" @default.
- W4313702925 workType "article" @default.