Electronic growth charts: watching our patients grow
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Published on: May 17, 2024
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.
Abstract:
Pediatric Growth Charts have been used in the pediatric community since 1977. The first growth charts were developed by the National Center for Health Statistics as a clinical tool for health care professionals. The growth charts, revised in 2000, by the Center for Disease Control consists of a series of percentile curves for selected body measurements in children [1]. Capitalizing on the benefits of our Electronic Medical Record (EMR), and as a byproduct of nursing electronic documentation of routine heights, weights, and frontal occipital circumferences, our system plots the routine measurements without additional intervention by the staff. Clinicians can view the graphs online or generate printed reports as needed during routine examination for outpatient or hospitalized care. This abstract outlines the background, design process, programming rules utilized to plot growth curves, and the evaluation of the electronic CDC growth charts in our organization.
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