Electronic medical record alert activation increase hepatitis C and HIV screening rates in primary care practices within a large healthcare system

Tapp, Hazel; Ludden, Thomas M.; Shade, Lindsay; Thomas, Joseph; Mohanan, Sveta; Leonard, Michael

doi:10.1016/j.pmedr.2019.101036

Cited by 19 publications

(22 citation statements)

References 23 publications

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“…Medical alerts can increase screening for infectious diseases, such as hepatitis C and HIV, but these alerts have definite problems and can cause alert fatigue. 12,13 In addition, an important issue in the identification of adults with LTBI involves the interpretation of the test used. Ghassemieh et al analyzed LTBI test agreement in the 2011-2012 NHANES database and concluded that there was only fair agreement between the PPD test and the QuantiFERON test and that this agreement depended on the cut points used for the various tests.…”

Section: Discussionmentioning

confidence: 99%

The prevalence and characteristics of adults with latent tuberculous infection in the United States and the implications for healthcare in Texas

Khan¹,

Ike²,

Dennis³

et al. 2021

The Chronicles

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The Centers for Disease Control and Prevention reported 8,916 cases of tuberculosis in 2019. Reducing the number of cases of active tuberculosis requires identification of patients with latent tuberculous infections (LTBI). Optimal screening for LTBI requires information about the demographics and characteristics of people who are more likely to have had tuberculous infection. Information from the 2011–2012 National Health and Nutrition Examination Survey (NHANES) was used to determine the number and characteristics of adults from a representative sample of the United States who had LTBI. Latent tuberculous infection was identified either by a positive skin test or by a positive QuantiFERON blood test. Information about the number of patients with active tuberculosis in Texas was determined from reports from the Texas State Department of Health Services. The NHANES database for the years 2011-2012 included 5,684 adults. Participants with a positive QuantiFERON blood test were more likely in the age group 45-64, male, foreign born, and have less than a high school education. Participants with a positive skin test had similar characteristics. Participants who had both a positive skin test and positive QuantiFERON test were more likely to be in the age group 45-64, males, foreign born, and Hispanic. In addition, they had diabetes, self-reported fair/poor health, and an educational level less than high school. In the State of Texas tuberculosis occurred more frequently in individuals older than 75 who were male and were not US born Texas residents. Important clinical diagnoses included diabetes, alcohol abuse, correctional facility residence, non-injection drug use, positive HIV status, and homelessness. Information from the NHANES study and from the State Department of Health Services in Texas provides information needed to develop screening programs for latent tuberculosis and active tuberculosis.

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Section: Discussionmentioning

confidence: 99%

The prevalence and characteristics of adults with latent tuberculous infection in the United States and the implications for healthcare in Texas

Khan¹,

Ike²,

Dennis³

et al. 2021

The Chronicles

View full text Add to dashboard Cite

show abstract

“…A Cochrane review on the effects of on-screen, point-of-care computer reminders on processes and outcomes of care found that they achieved median improvement in process adherence of 3.8% [interquartile range (IQR): 0.4-16.3%] for test ordering [26]. Reminders on electronic medical records have been identified as a low-cost mechanism to improve care by delivering decision support to clinicians at the point of care and they have been shown to increase HIV screening in healthcare settings [15,[27][28][29].…”

Section: Introductionmentioning

confidence: 99%

Efficacy of an electronic reminder for HIV screening in primary healthcare based on indicator conditions in Catalonia (Spain)

et al. 2022

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Objective The aim of this study was to assess the efficacy of an electronic reminder in primary healthcare in patients diagnosed with an indicator condition (IC) to improve HIV screening. Methods We developed a prospective interventional study in 51 primary healthcare centres in Barcelona randomly assigned into one of two study groups: control and alert. Between June 2018 and May 2019, an electronic reminder appeared in the electronic medical record each time a diagnosis of an IC in patients aged 16–65 years was registered in the alert group. We assessed HIV testing rates within 4 months following the diagnosis of an IC. Results In all, 13 000 patients were diagnosed with at least one IC. HIV testing was more likely in the alert group than in the control group. The electronic reminder multiplied the odds of being tested in men by 1.26 [95% confidence interval (CI): 1.04–1.52, p = 0.019], by 1.77 (95% CI: 1.33–2.38, p < 0.001) among patients aged < 50 years , and by 1.51 (95% CI: 1.20–1.92, p < 0.001) in diagnoses of IC other than a sexually transmitted infection (STI) or an AIDS‐defining illness. Five (0.08%) cases of HIV were detected in the control group and 10 (0.17%) in the alert group. Conclusions Implementing an electronic reminder had a positive impact on HIV screening rates in patients diagnosed with an IC. The alert was more effective among older patients, those living in less socioeconomically deprived neighbourhoods, and those with an IC other than an STI or an AIDS‐defining illness.

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“…Medical information systems optimize the use of available resources for patient attention and improve the service quality and the communication with the patients [16]. By using collected data, it has been possible to increase the hepatitis C and HIV screening rates in primary care practices in more than a 20% [16]. Other studies emphasize the importance of a digitally connected healthcare system in times of pandemic [2].…”

Section: Introductionmentioning

confidence: 99%

“…Nevertheless, the reality that we found in some regions of Ecuador is that the professionals of healthcare institutions are not aware of the use of EMR. In fact, the importance of the analysis of information quality in medical service management systems has been highlighted in different studies [16,19].…”

Section: Introductionmentioning

confidence: 99%

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Development of a Web-Based Medical Record Management Software for Digital Immigrant Users

Celi-Párraga

Peña

Coello-Fiallos

2021

Communications in Computer and Information Science

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The lack of usability of automated medical record management systems holds back the quality of health care services in health institutions. This situation is especially critical with the increase of the number of patients because of the pandemic of COVID-19. In the present work, a web-based medical records management system was developed with an easy-to-use interface for digital immigrant users. For the management and development of the project, the XP (eXtreme Programming) methodology of the software life cycle was successfully applied. The system was developed using open source technologies: PHP as programming language and the Bootstrap framework for the design of user interfaces. The result was an elegant and modern user interface that provides ease of use to digital immigrant users. The system was validated through an experimental evaluation carried out at the medical center of "La Concordia", in Ecuador. This evaluation was based on Jakob Nielsen usability principles and the software product quality norms of the ISO/IEC 25010 standard. The heuristic validation of the proposal resulted in a 93% of acceptance whilst function tests where successful in 96% of times. Besides, the result of a SUS test with the participation of five digital immigrants turn out in a 91.5% of system usability. Finally, it is worth mentioning that this software is now in exploitation in a local medical center with successful results.

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Electronic medical record alert activation increase hepatitis C and HIV screening rates in primary care practices within a large healthcare system

Cited by 19 publications

References 23 publications

The prevalence and characteristics of adults with latent tuberculous infection in the United States and the implications for healthcare in Texas

The prevalence and characteristics of adults with latent tuberculous infection in the United States and the implications for healthcare in Texas

Efficacy of an electronic reminder for HIV screening in primary healthcare based on indicator conditions in Catalonia (Spain)

Development of a Web-Based Medical Record Management Software for Digital Immigrant Users

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