Harnessing the Power of the Electronic Medical Record to Facilitate an Opt-Out HIV Screening Program in an Urban Academic Emergency Department
| Autor: | Sara Heinert, Sara Baghikar, Cammeo Mauntel-Medici, Janet Y. Lin |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Adolescent MEDLINE HIV Infections Opt-out Limited access 03 medical and health sciences 0302 clinical medicine Documentation medicine Urban Health Services Electronic Health Records Humans Mass Screening 030212 general & internal medicine Marital Status business.industry Health Policy Racial Groups Public Health Environmental and Occupational Health Electronic medical record virus diseases 030208 emergency & critical care medicine HIV screening Emergency department Middle Aged medicine.disease Female Medical emergency Monthly average business Emergency Service Hospital |
| Zdroj: | Journal of public health management and practice : JPHMP. 23(3) |
| ISSN: | 1550-5022 |
| Popis: | Emergency Departments (EDs) are important settings for routine HIV screening because they are safety nets for populations with limited access to primary care and high risk for HIV infection. However, EDs rarely perform routine HIV screening due to logistical barriers. An electronic medical record (EMR)-driven routine opt-out HIV screening program was implemented in an urban academic ED and led to rapid scale-up of screening volume and detection of unknown HIV infection. The streamlined tool, requiring 4 mouse clicks, automates screening for eligibility, facilitates documentation of consent and orders the HIV test. HIV screening increased to a monthly average of 550 tests compared to an average of 7 tests prior to program implementation. Similar EMR innovations can be leveraged in a variety of other clinical settings and for testing of other diseases to improve clinical flow and outcomes. |
| Databáze: | OpenAIRE |
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