Key result
In-basket alerts for FH decision support prove more acceptable and feasible than best practice advisories.
Why the study?
Familial hypercholesterolemia is underdiagnosed in the United States, and clinical decision support could increase detection once implemented in clinical workflows.
What are clinician perspectives on the implementation and format of clinical decision support for Familial Hypercholesterolemia?
Cross-Sectional (n=104)
Yes
What are clinician perspectives on the implementation and format of clinical decision support for Familial Hypercholesterolemia?
Answers are grounded in this paper and cite their sources.
Clinicians favor implementing clinical decision support for Familial Hypercholesterolemia to improve early diagnosis, finding in-basket alerts more acceptable and feasible than best practice advisories.
Familial Hypercholesterolemia (FH) is underdiagnosed in the United States. Clinical decision support (CDS) could increase FH detection once implemented in clinical workflows. We deployed CDS for FH at an academic medical center and sought clinician insights using an implementation survey. In November 2020, the FH CDS was deployed in the electronic health record at all Mayo Clinic sites in two formats: a best practice advisory (BPA) and an in-basket alert. Over three months, 104 clinicians participated in the survey (response rate 11.1%). Most clinicians (81%) agreed that CDS implementation was a good option for identifying FH patients; 78% recognized the importance of implementing the tool in practice, and 72% agreed it would improve early diagnosis of FH. In comparing the two alert formats, clinicians found the in-basket alert more acceptable (p = 0.036) and more feasible (p = 0.042) than the BPA. Overall, clinicians favored implementing the FH CDS in clinical practice and provided feedback that led to iterative refinement of the tool. Such a tool can potentially increase FH detection and optimize patient management.
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Bangash et al. (2023) conducted a cross-sectional in Familial Hypercholesterolemia (n=104). Clinical decision support (CDS) in-basket alert vs. Best practice advisory (BPA) was evaluated on Clinician acceptability and feasibility (p=0.036). Clinicians found the in-basket alert format for familial hypercholesterolemia clinical decision support more acceptable (p=0.036) and feasible (p=0.042) than the best practice advisory.
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