Objectives: Performing reflux testing on acid suppression without a confirmed diagnosis of gastroesophageal reflux disease conflicts with best practice recommendations and reduces diagnostic utility. We assessed whether clinical decision support (CDS) improves ordering practices. Methods: Quality improvement methods were used to develop and test the effectiveness of a novel CDS tool. Results: The testing rate on acid suppression decreased (30.9% vs 8.4%; p<0.01), best practice concordance increased (16.4% vs 60.0%; p<0.001), and more clinical management changes occurred (23.1% vs 60.0%; p=0.01) after CDS deployment. Conclusions: Use of CDS for reflux testing improves ordering practices and meaningful changes clinical management.
Reddy et al. (Thu,) studied this question.