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Pediatric Order Set Utilization and Infrastructure Within a Regional Care Network.
Kaitlyn McQuistion1, Allison Markowsky2, Sonal Kalburgi2
1Division of Hospital Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin.
Hospital Pediatrics
|September 3, 2025
Summary
Standardized order set (SOS) utilization and infrastructure varied across pediatric hospitals. Opportunities exist to improve SOS use and support systems for better patient care.
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.
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