Decrease in unnecessary vitamin D testing using clinical decision support tools: Making it harder to do the wrong thing

Journal of the American Medical Informatics Association

Volumn 24, Issue 4, 2017, Pages 776-780

  Felcher, Andrew H ^a   Gold, Rachel ^b   Mosen, David M ^b   Stoneburner, Ashley B ^b  

^a Northwest Permanente   (United States)

^b CENTER FOR HEALTH RESEARCH   (United States)

Author keywords

Clinical decision support; Ordering preference list; Vitamin D screening

Indexed keywords

VITAMIN D;

ADULT; ARTICLE; CLINICAL DECISION SUPPORT SYSTEM; CLINICAL EVALUATION; ELECTRONIC HEALTH RECORD; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; MIDDLE AGED; PRACTICE GUIDELINE; SCREENING TEST; VITAMIN BLOOD LEVEL; VITAMIN D DEFICIENCY; BLOOD; DECISION SUPPORT SYSTEM; DIAGNOSTIC TEST; UNNECESSARY PROCEDURE; UTILIZATION;

ADULT; DECISION SUPPORT SYSTEMS, CLINICAL; DECISION SUPPORT TECHNIQUES; DIAGNOSTIC TESTS, ROUTINE; ELECTRONIC HEALTH RECORDS; FEMALE; HUMANS; MALE; MIDDLE AGED; PRACTICE GUIDELINES AS TOPIC; UNNECESSARY PROCEDURES; VITAMIN D; VITAMIN D DEFICIENCY;

EID: 85026427460     PISSN: 10675027     EISSN: 1527974X     Source Type: Journal    
DOI: 10.1093/jamia/ocw182     Document Type: Article

References (32)

1. Roshanov PS, You JJ, Dhaliwal J, et al. Can computerized clinical decision support systems improve practitioners' diagnostic test ordering behavior? A decision-maker-researcher partnership systematic review. Implement Sci. 2011;6:88.
2. Blackmore CC, Mecklenburg RS, Kaplan GS. Effectiveness of clinical decision support in controlling inappropriate imaging. J Am Coll Radiol. 2011;8(1):19-25.
3. Bates DW, Kuperman GJ, Rittenberg E, et al. A randomized trial of a computer-based intervention to reduce utilization of redundant laboratory tests. Am J Med. 1999;106(2):144-50.
4. Bischoff-Ferrari HA, Willett WC, Wong JB, et al. Prevention of nonvertebral fractures with oral vitamin D and dose dependency: a meta-analysis of randomized controlled trials. Arch Intern Med. 2009;169(6):551-61.
5. Bischoff-Ferrari HA, Dawson-Hughes B, Staehelin HB, et al. Fall prevention with supplemental and active forms of vitamin D: a meta-analysis of randomised controlled trials. BMJ. 2009;339:b3692.
6. Ginde AA, Scragg R, Schwartz RS, Camargo CA Jr. Prospective study of serum 25-hydroxy vitamin D level, cardiovascular disease mortality, and all-cause mortality in older U.S. adults. J Am Geriatr Soc. 2009;57(9):1595-603.
7. Autier P, Gandini S. Vitamin D supplementation and total mortality: a meta-analysis of randomized controlled trials. Arch Intern Med. 2007;167(16):1730-37.
8. Wang TJ, Pencina MJ, Booth SL, et al. Vitamin D deficiency and risk of cardiovascular disease. Circulation. 2008;117(4):503-11.
9. Dobnig H, Pilz S, Scharnagl H, et al. Independent association of low serum 25-hydroxy vitamin D and 1,25-dihydroxy vitamin D levels with all-cause and cardiovascularmortality. Arch Intern Med. 2008;168(12):1340-49.
10. Reis JP, von Muhlen D, Miller ER III, Michos ED, Appel LJ. Vitamin D status and cardiometabolic risk factors in the United States adolescent population. Pediatrics. 2009;124(3):e371-79.
11. Zipitis CS, Akobeng AK. Vitamin D supplementation in early childhood and risk of type 1 diabetes: a systematic review and meta-analysis. Arch Dis Child. 2008;93(6):512-17.
12. Jenab M, Bueno-de-Mesquita HB, Ferrari P, et al. Association between prediagnostic circulating vitamin D concentration and risk of colorectal cancer in European populations:a nested case-control study. BMJ. 2010;340:b5500.
13. Beck M. Triple that vitamin D intake, panel prescribes. Wall Street J. 2010. http://www.wsj.com. Accessed July 14, 2016.
14. Brophy Marcus M. Vitamin D tests soar as deficiency, diseases linked. USAToday. 2008. http://USAToday.com. Accessed July 14, 2016.
15. Huang KE, Milliron BJ, Davis SA, Feldman SR. Surge in US outpatient vitamin D deficiency diagnoses: National Ambulatory Medical Care Survey analysis. South Med J. 2014;107(4):214-17.
16. Rollins G. Vitamin D Testing: What's the Right Answer? Clin Lab News. 2009;35(7):1-9.
17. Holick MF, Binkley NC, Bischoff-Ferrari HA, et al. Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2011;96(7):1911-30.
18. LeFevre ML. Screening for vitamin D deficiency in adults: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2015;162(2):133-40.
19. LeBlanc ES, Zakher B, Daeges M, Pappas M, Chou R. Screening for vitamin D deficiency: a systematic review for the U.S. Preventive Services Task Force. Ann Intern Med. 2015;162(2):109-22.
20. American Board of Internal Medicine. Choosing Wisely. 2015. http://www.choosingwisely.org. Accessed August 10, 2015.
21. Health Quality Ontario. Clinical utility of vitamin D testing: an evidencebased analysis. Ont Health Technol Assess Ser. 2010;10(2):1-93.
22. Kennel KA, Drake MT, Hurley DL. Vitamin D deficiency in adults: when to test and how to treat. Mayo Clin Proc. 2010;85(8):752-57.
23. Institute for Healthcare Improvement. Triple Aim Measures. http://www.ihi.org/Engage/Initiatives/TripleAim/Pages/default.aspx. Accessed February 29, 2016.
24. Feldstein AC, Perrin NA, Unitan R, et al. Effect of a patient panel-support tool on care delivery. Am J Manag Care. 2010;16(10):e256-66.
25. Kawamoto K, Houlihan CA, Balas EA, Lobach DF. Improving clinical practice using clinical decision support systems: a systematic review of trials to identify features critical to success. BMJ. 2005; 330(7494):765.
26. Lobach D, Sanders GD, Bright TJ, et al. Enabling health care decisionmaking through clinical decision support and knowledge management. Evidence Report No. 203. AHRQ Publication No. 12-E001-EF. Rockville, MD: Agency for Healthcare Research and Quality; 2012.
27. Bright TJ, Wong A, Dhurjati R, et al. Effect of clinical decision-support systems: a systematic review. Ann Intern Med. 2012;157(1):29-43.
28. Souza NM, Sebaldt RJ, Mackay JA, et al. Computerized clinical decision support systems for primary preventive care: a decision-maker-researcher partnership systematic review of effects on process of care and patient outcomes. Implement Sci. 2011;6:87.
29. Jaspers MW, Smeulers M, Vermeulen H, Peute LW. Effects of clinical decision-support systems on practitioner performance and patient outcomes: a synthesis of high-quality systematic review findings. J Am Med Inform Assoc. 2011;18(3):327-34.
30. Ash JS, Sittig DF, Guappone KP, et al. Recommended practices for computerized clinical decision support and knowledge management in community settings: a qualitative study. BMC Med Inform Decis Mak. 2012;12:6.
31. Ash JS, Sittig DF, Dykstra R, et al. Identifying best practices for clinical decision support and knowledge management in the field. Stud Health Technol Inform. 2010;160 (Pt 2):806-10.
32. Goodnough LT, Shah N. The next chapter in patient blood management: real-time clinical decision support. Am J Clin Pathol. 2014;142(6):741-47.