Electronic growth charts: watching our patients grow

Cynthia A Murphy1, Kimberly Carstens, Precy Villamayor

  • 1University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.

Insights

This study introduces an electronic system for plotting pediatric growth charts, integrating with Electronic Medical Records (EMR) to streamline clinical documentation and improve patient care.

Area of Science:

  • Pediatrics
  • Health Informatics
  • Biostatistics

Background:

  • Pediatric growth charts, established in 1977 and revised in 2000 by the CDC, are essential clinical tools for monitoring child development.
  • Traditional growth chart plotting can be time-consuming for healthcare professionals.

Purpose of the Study:

  • To develop and evaluate an automated system for plotting electronic CDC growth charts.
  • To leverage Electronic Medical Record (EMR) data for seamless integration of growth measurements.

Main Methods:

  • The system automatically plots routine measurements (height, weight, frontal occipital circumference) from nursing electronic documentation.
  • Programming rules were established to accurately generate percentile curves.
  • Clinicians can access graphs online or generate printed reports for patient examinations.

Main Results:

  • The electronic system successfully plots growth curves without additional staff intervention.
  • Facilitates real-time access to growth data for outpatient and hospitalized care.
  • Demonstrates efficient integration of EMR data for clinical decision-making.

Conclusions:

  • The developed electronic system enhances the utility of pediatric growth charts.
  • Automated plotting improves workflow efficiency and data accessibility for clinicians.
  • Supports evidence-based pediatric care through integrated growth monitoring.

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