Childhood obesity: Can electronic medical records customized with clinical practice guidelines improve screening and diagnosis?

Saviñon, Carla E.; Taylor, Julie Smith; Canty-Mitchell, Janie; Blood‐Siegfried, Jane

doi:10.1111/j.1745-7599.2012.00735.x

Cited by 37 publications

(34 citation statements)

References 20 publications

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“…BMI documentation increased from 64% to 86% (P < .001), BMI percentile documentation increased from 31% to 76% (P < .001), BP documentation improved from 83% to 97% (P < .001), and BP percentile documentation improved, increasing from 1% to 35% (P < .005). The significance of these findings is consistent with other studies 8,10 and supports the role of HIT in improving pediatric obesity recognition, documentation, and interventions.…”

Section: Background and Significancesupporting

confidence: 90%

“…10 The EHR was structured using current evidence-based practice guidelines 6,11 and provided tailored information to parents and children. After implementation, the authors found a significant increase in screenings; children were 62% more likely to have a BMI recorded with EHR growth chart, and questionnaire completion improved 94% with the EHR.…”

Section: Background and Significancementioning

confidence: 99%

See 1 more Smart Citation

Starting the Conversation: A Health Information Technology Tool to Address Pediatric Obesity

Gauthier¹

2014

The Journal for Nurse Practitioners

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Section: Background and Significancesupporting

confidence: 90%

Section: Background and Significancementioning

confidence: 99%

Starting the Conversation: A Health Information Technology Tool to Address Pediatric Obesity

Gauthier¹

2014

The Journal for Nurse Practitioners

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“…13,[15][16][17][18] Structured documentation templates for capturing data have also been shown to improve overall data quality by producing nursing documentation that is more complete, relevant, and comprehensive. [19][20][21] Several studies have evaluated the effectiveness of computerized documentation templates, merged with disease-specific content, to help standardize clinician documentation. 18,[21][22][23][24] Thus, documentation of disease-specific content for stroke may improve with the use of evidence-based content.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Nursing Documentation Completion of Stroke Patients in the Emergency Department

Richardson

Sengstack

Doucette

et al. 2016

CIN: Computers, Informatics, Nursing

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The primary aim of this performance improvement project was to determine whether the electronic health record implementation of stroke-specific nursing documentation flowsheet templates and clinical decision support alerts improved the nursing documentation of eligible stroke patients in seven stroke-certified emergency departments. Two system enhancements were introduced into the electronic record in an effort to improve nursing documentation: disease-specific documentation flowsheets and clinical decision support alerts. Using a pre-post design, project measures included six stroke management goals as defined by the National Institute of Neurological Disorders and Stroke and three clinical decision support measures based on entry of orders used to trigger documentation reminders for nursing: (1) the National Institutes of Health's Stroke Scale, (2) neurological checks, and (3) dysphagia screening. Data were reviewed 6 months prior (n = 2293) and 6 months following the intervention (n = 2588). Fisher exact test was used for statistical analysis. Statistical significance was found for documentation of five of the six stroke management goals, although effect sizes were small. Customizing flowsheets to meet the needs of nursing workflow showed improvement in the completion of documentation. The effects of the decision support alerts on the completeness of nursing documentation were not statistically significant (likely due to lack of order entry). For example, an order for the National Institutes of Health Stroke Scale was entered only 10.7% of the time, which meant no alert would fire for nursing in the postintervention group. Future work should focus on decision support alerts that trigger reminders for clinicians to place relevant orders for this population.

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“…The literature supports schools as vital to educating students on how to eat appropriately and choose the best meal [5] it is important that children are educated about healthy choices to reduce their risk of obesity-related diseases. The purpose of this project is to provide an educational program specific to healthy food choices to elementary school teachers for implementation in the classroom.…”

Section: Implementing An Education Program On Healthy Food Choices Inmentioning

confidence: 99%

“…Obesity is related to more general practitioner visits, more school absences, more health-related limitations and overall lower general health scores [4]. some of the more prevalent chronic diseases associated with obesity include: Increased blood pressure, increased cholesterol, heart disease and diabetes [5].…”

Section: Implementing An Education Program On Healthy Food Choices Inmentioning

confidence: 99%

Implementing an Education Program in Elementary Schools to Improve Healthy Food Choices

Mailow¹

2017

J Child Obes

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Childhood obesity is a major concern in the United States. Research suggests that nutrition education is needed to improve the knowledge of children about healthy nutrition choices. The need for clarity of lifestyle behaviors and education of children is vital and must be addressed. The purpose of this project was to provide an educational program specific to healthy food choices to elementary school teachers for implementation in the classroom and to increase the knowledge of elementary school teachers about reading food label and selecting healthier choices. Results of this project support the need for education on healthy food choices and reading food labels. Pre-and-posttest t tests were conducted on mean scores to measure nutritional knowledge. An increase in scores suggested that the use of nutrition education can be successful in improving the knowledge of teachers about how to make healthy food choices and read food labels.

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Childhood obesity: Can electronic medical records customized with clinical practice guidelines improve screening and diagnosis?

Abstract: Customizing EMR with clinical practice guidelines improved adherence to recommendations for screening and identification of childhood overweight and obesity. Increased recognition and diagnosis will lead to improved interventions and improve outcomes for childhood obesity.

Cited by 37 publications

References 20 publications

Starting the Conversation: A Health Information Technology Tool to Address Pediatric Obesity

Starting the Conversation: A Health Information Technology Tool to Address Pediatric Obesity

Evaluation of Nursing Documentation Completion of Stroke Patients in the Emergency Department

Implementing an Education Program in Elementary Schools to Improve Healthy Food Choices

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