May 2013

Document Type


Degree Name



Dept. of Medical Informatics and Clinical Epidemiology


Oregon Health & Science University


BACKGROUND: Investigators sought to determine whether or not integrating a clinical practice guideline into an electronic record (EHR) would improve adherence in pediatric patients presenting to the emergency department for minor head injury. METHODS: Twenty-seven clinicians working in a tertiary pediatric emergency department were enrolled. Clinical alerts were set to fire according to select chief complaints that could be related to head injury. A head injury navigator (HIN) was devised for clinicians to utilize and determine a risk score of serious intracranial injury (c-TBI). The pre-intervention phase included questions but no risk score revealed while the post intervention phase revealed the risk score to the clinician in real time. The primary outcome was the change in adherence to the guideline post intervention. ANALYSIS: A Welch t-test was used to compare descriptive variables pre and post intervention. The primary outcome of ‘adhered’ was compared between the pre and pos




School of Medicine



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