Electronic Health Record Clinical Decision Support Tool Improves Ambulatory Reflux Testing Practices.

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.

Duke Scholars

Author David Asher Leiman Medicine, Gastroenterology

Author Alexander Terry Reddy Medicine, Gastroenterology