Evidence map›Paper›PMID 35710554›Full record

ArticleBMC health services research2022

Electronic medical record alert increases HIV screening rates: the Foch hospital pilot POP-up project.

Alexandre Vallée, Dimi Sveltlane, Julie Trichereau, Stéphane Neveu, Erwan Fourn, Catherine Majerholc, Philippe Lesprit, Laurence Mazaux, Seheno Harijaona Henintsoa, Grazyna Matejczuk and 2 more

Abstract read
In one paragraph

Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Improved Diabetes Screening for Women After Gestational Diabetes Mellitus.Diabetes spectrum : a publication of the American Diabetes Association · 2025
    Article
  4. Article
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

12 authors.

Alexandre ValléeDepartment of Epidemiology - Data - Biostatistics, Delegation of Clinical Research and Innovation, Foch Hospital, Suresnes, France. alexandre.g.vallee@gmail.com.
Dimi SveltlaneDepartment of Internal Medicine, Réseau Ville Hôpital Val de Seine, Foch Hospital, Suresnes, France.
Julie TrichereauDepartment of Epidemiology - Data - Biostatistics, Delegation of Clinical Research and Innovation, Foch Hospital, Suresnes, France.
Stéphane NeveuDépartement d'Informatique, Hôpital Foch, Suresnes, France.
Erwan FournDepartment of Internal Medicine, Réseau Ville Hôpital Val de Seine, Foch Hospital, Suresnes, France.
Catherine MajerholcDepartment of Internal Medicine, Réseau Ville Hôpital Val de Seine, Foch Hospital, Suresnes, France.
Philippe LespritDepartment of Hygiene and Infectious Disease, Foch Hospital, Suresnes, France.
Laurence MazauxService de Biologie Clinique, Hôpital Foch, Suresnes, France.
Seheno Harijaona HenintsoaDepartment of Epidemiology - Data - Biostatistics, Delegation of Clinical Research and Innovation, Foch Hospital, Suresnes, France.
Grazyna MatejczukDépartement d'Informatique, Hôpital Foch, Suresnes, France.
Marc VasseService de Biologie Clinique, Hôpital Foch, Suresnes, France.
David ZucmanDepartment of Internal Medicine, Réseau Ville Hôpital Val de Seine, Foch Hospital, Suresnes, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite significant national human immunodeficiency virus (HIV) screening activity, there are persistent delays in screening, and many missed diagnostic opportunities. To facilitate targeted screening, an electronic medical record (EMR) alert reminder was applied in the Foch hospital. Screening rates after implementation were reported.

methodsA prospective cohort analysis was performed in Foch Hospital between 24 April 2018 and 4 October 2019 among hospitalized patients born in high HIV prevalence countries and/or having social vulnerability criteria (universal health coverage). From the admissions software, when specific low health coverage was provided and/or high-prevalence country of birth was registered, an electronic alert (EMR alert) appeared on the ward where the patient was hospitalized. The EMR alert database was examined for HIV screening and activity responses from each service of the Hospital.

resultsEight thousand one hundred eighty-one alerts were recovered during the period for 1448 patients. 27 services used the EMR alert. Most of the alerts were directly closed (74.4%), 14.5% of the alerts were closed due to doctors declaring that they did not have time to respond. 297 (3.6%) of the 8181 alerts resulted in a prescription of HIV serology corresponding for 20.5% of the patients.

conclusionEMR alert can help to increase the rate of HIV screening in hospital care practice. Through this EMR alert system, HIV screening can be implemented as a common practice like any other medical alternative. Future research should examine the factors influencing physicians' attitudes to this alert system to improve the HIV screening rate.

Indexed as

Electronic Health RecordsHIV InfectionsAIDS SerodiagnosisHospitalsHumansProspective StudiesDecision supportElectronic medical recordHIVHIV screeningPreventative care

Identifiers

PMID35710554
PMCPMC9202097

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