Evidence map›Paper›PMID 29209663›Full record

ArticleBMJ open quality2017

Electronic medical record alert improves HCV testing for baby boomers in primary care setting: adults born during 1945-1965.

Eyad Al-Hihi, Caylin Shankweiler, David Stricklen, Cheryl Gibson, Winston Dunn

Registry-linked trialAbstract read
In one paragraph

Article in BMJ open quality, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07580482 (The Referral to Hepatology Can be Improved Through an Electronic Medical Record), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07580482 nacompletednot on this mapstarted 2020, after this paper: background citation

The Referral to Hepatology Can be Improved Through an Electronic Medical Record (EMR)-Based Best Practice Alert (BPA) for an Appropriate Referral

TypeinterventionalSponsorUniversity of Kansas Medical CenterRan2020 to 2022Enrolled30ConditionsLiver Diseases, Liver Fat, Diabetes Mellitus, Type 2, Non-Alcoholic SteatohepatitisArmsBest Practice Alert, No Intervention
3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Article
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  5. Review
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  11. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Eyad Al-HihiDepartment of General and Geriatric Medicine, The University of Kansas Health System, Kansas, USA.
Caylin ShankweilerDepartment of General and Geriatric Medicine, The University of Kansas Health System, Kansas, USA.
David StricklenDepartment of Organizational Improvement, The University of Kansas Health System, Kansas, USA.
Cheryl GibsonDepartment of Internal Medicine, The University of Kansas Medical Center, Kansas, USA.
Winston DunnDepartment of Gastroenterology and Hepatology, The University of Kansas Health System, Kansas, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

methodThis project aims to implement the HCV birth cohort screening guidelines over a 9-month period in the primary care setting at the University of Kansas Health System General Internal Medicine Division. The project team measured the number of patients in the baby boomer population who received a one-time screen for HCV. An electronic medical record (EMR) intervention was implemented to identify baby boomers who did not have an HCV screening or diagnosis. Additionally, education was provided to all primary care providers in the clinic to increase awareness of the HCV birth cohort screening.

resultsThe quality improvement methods increased the percentage of baby boomers who obtained a one-time screening test for HCV from a baseline of 30% to a 55% screening rate during the nine-month project period.

conclusionIdentifying the HCV screening needs and creating a visual reminder in the EMR can be used to facilitate sustainable awareness and improvement of screening rates. The project team recognizes that continued work is required to close the HCV screening care gaps in the primary care setting.

Indexed as

healthcare quality improvementPDSAprimary carequality improvement

Identifiers

PMID29209663
PMCPMC5704105

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.