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Randomized Trial of a Clinical Decision Support System: Impact on the Management of Children with Fever without Apparent Source

Randomized Trial of a Clinical Decision Support System: Impact on the Management of Children with... Journal of the American Medical Informatics Association Volume 15 Number 1 Jan / Feb 2008 107 Research Paper Randomized Trial of a Clinical Decision Support System: Impact on the Management of Children with Fever without Apparent Source JOLT ROUKEMA, MD, PHD, EWOUT W. STEYERBERG,PHD, JOHAN VAN DER LEI, MD, PHD, HENRIËTTE A. MOLL, MD, PHD Abstract Objective: To assess compliance with a clinical decision support system (CDSS) for diagnostic management of children with fever without apparent source and to study the effects of application of the CDSS on time spent in the emergency department (ED) and number of laboratory tests. Design: The CDSS was used by ED nursing staff to register children presenting with fever. The CDSS identified children that met inclusion criteria (1–36 months and fever without apparent source (FWS)) and provided patient- specific diagnostic management advice. Children at high risk for serious bacterial infection were randomized for the ‘intervention’ (n  74) or the ‘control’ (n  90) group. In the intervention group, the CDSS provided the advice to immediately order laboratory tests and in the control group the ED physician first assessed the children and then decided on ordering laboratory tests. Results: Compliance with registration of http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of the American Medical Informatics Association Oxford University Press

Randomized Trial of a Clinical Decision Support System: Impact on the Management of Children with Fever without Apparent Source

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References (28)

Publisher
Oxford University Press
Copyright
American Medical Informatics Association
ISSN
1067-5027
eISSN
1527-974X
DOI
10.1197/jamia.M2164
pmid
17947627
Publisher site
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Abstract

Journal of the American Medical Informatics Association Volume 15 Number 1 Jan / Feb 2008 107 Research Paper Randomized Trial of a Clinical Decision Support System: Impact on the Management of Children with Fever without Apparent Source JOLT ROUKEMA, MD, PHD, EWOUT W. STEYERBERG,PHD, JOHAN VAN DER LEI, MD, PHD, HENRIËTTE A. MOLL, MD, PHD Abstract Objective: To assess compliance with a clinical decision support system (CDSS) for diagnostic management of children with fever without apparent source and to study the effects of application of the CDSS on time spent in the emergency department (ED) and number of laboratory tests. Design: The CDSS was used by ED nursing staff to register children presenting with fever. The CDSS identified children that met inclusion criteria (1–36 months and fever without apparent source (FWS)) and provided patient- specific diagnostic management advice. Children at high risk for serious bacterial infection were randomized for the ‘intervention’ (n  74) or the ‘control’ (n  90) group. In the intervention group, the CDSS provided the advice to immediately order laboratory tests and in the control group the ED physician first assessed the children and then decided on ordering laboratory tests. Results: Compliance with registration of

Journal

Journal of the American Medical Informatics Association – Oxford University Press

Published: Jan 1, 2008

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