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This summary is machine-generated.

Standardized order set (SOS) utilization and infrastructure varied across pediatric hospitals. Opportunities exist to improve SOS use and support systems for better patient care.

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Area of Science:

  • Pediatric hospital medicine
  • Clinical informatics
  • Healthcare quality improvement

Background:

  • Standardized order sets (SOS) are crucial for consistent patient care.
  • Understanding variation in SOS utilization and infrastructure is key to optimizing their use.

Purpose of the Study:

  • To describe institutional variation in standardized order set (SOS) utilization.
  • To assess SOS infrastructure across a regional pediatric care network.

Main Methods:

  • A cross-sectional study at 5 pediatric hospital medicine services.
  • SOS utilization calculated as proportion of encounters using diagnosis-based SOS.
  • SOS infrastructure assessed using a novel survey based on CDS Operations Maturity Model and UTAUT.

Main Results:

  • Average SOS utilization ranged from 53%-86% by site and 45%-79% by diagnosis.
  • SOS infrastructure varied; most sites had guideline-based content creation.
  • Data access, analytics, governance, and integration with other CDS showed significant room for improvement.

Conclusions:

  • Opportunities identified for enhancing both SOS utilization and infrastructure.
  • Further research needed to validate the SOS infrastructure survey and explore national trends and clinical outcome impacts.