The American journal of gastroenterology · 2026
Electronic Health Record Clinical Decision Support Tool Improves Ambulatory Reflux Testing Practices.
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Reddy Alexander T, Wang Annie L, Sekar Sitharthan, Dorsey Y Claire, Leiman David A
Аннотация
INTRODUCTION: Performing reflux testing on acid suppression without a confirmed diagnosis of gastroesophageal reflux disease conflicts with best practice recommendations and reduces diagnostic utility. We assessed whether clinical decision support (CDS) improves ordering practices.
METHODS: Quality improvement methods were used to develop and test the effectiveness of a novel CDS tool.
RESULTS: The testing rate on acid suppression decreased (30.9% vs 8.4%; P < 0.01), best practice concordance increased (16.4% vs 60.0%; P < 0.001), and more clinical management changes occurred (23.1% vs 60.0%; P = 0.01) after CDS deployment.
DISCUSSION: Use of CDS for reflux testing improves ordering practices and meaningful changes clinical management.
METHODS: Quality improvement methods were used to develop and test the effectiveness of a novel CDS tool.
RESULTS: The testing rate on acid suppression decreased (30.9% vs 8.4%; P < 0.01), best practice concordance increased (16.4% vs 60.0%; P < 0.001), and more clinical management changes occurred (23.1% vs 60.0%; P = 0.01) after CDS deployment.
DISCUSSION: Use of CDS for reflux testing improves ordering practices and meaningful changes clinical management.