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Implementing an Evidence-Based, Asthma Decision Support Tool for Children Younger Than 5 Years Old
Grace Thapa1, Sharmila Nair2, Cheryl Oetjen3
1Grace Thapa, DNP Graduate, George Mason University, Fairfax, VA; and Family Nurse Practitioner, Burke Family Practice, Burke, VA.
Summary
A new decision support tool (DST) for pediatric asthma diagnosis showed good usability but poor utilization. Further implementation in primary care is recommended, with integration into electronic health records.
Area of Science:
- Pediatric Primary Care
- Evidence-Based Practice
- Clinical Decision Support
Background:
- Asthma is frequently underdiagnosed in young children.
- Clinical practice guidelines exist but are underutilized.
- Improved diagnostic tools are needed for children under 5.
Purpose of the Study:
- To develop and evaluate a decision support tool (DST) for diagnosing asthma in children under 5.
- To assess the usability and utilization of the DST in a pediatric primary care setting.
Main Methods:
- Pre-experimental design.
- Implementation of a three-page DST in a pediatric primary care clinic.
- Analysis of DST utilization and end-user perception.
Main Results:
- The DST achieved high scores on the end-user usability scale.
- Despite good usability, the DST experienced poor utilization rates.
Conclusions:
- The DST is a usable tool for improving pediatric asthma diagnosis.
- Recommendations include electronic health record integration and enhanced champion roles for better DST implementation.
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