{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T22:45:20Z","timestamp":1765233920618,"version":"3.40.3"},"reference-count":21,"publisher":"Georg Thieme Verlag KG","issue":"02","funder":[{"DOI":"10.13039\/100009633","name":"NIH\/NICHD","doi-asserted-by":"crossref","award":["R01HD094213"],"award-info":[{"award-number":["R01HD094213"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Appl Clin Inform"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Adolescents are at high risk for sexually transmitted infections (STIs) and frequently present to emergency departments (EDs) for care. Screening for STIs using confidential patient-reported outcomes represents an ideal use of electronic screening methodology.<\/jats:p><jats:p>\n          Objectives\u2003The objectives of this study were to implement a patient-facing, confidential electronic survey to assess adolescent risk for STIs and consent for testing with integrated provider-facing electronic clinical decision support (CDS) across six geographically dispersed pediatric EDs and evaluate implementation based on survey and CDS usage metrics.<\/jats:p><jats:p>\n          Methods\u2003A pilot site provided code for the electronic survey, data query, and CDS templates to six EDs. Institutions identified necessary information technology (IT) personnel, completed the local build, and made modifications to suit individual site workflow variations with all sites successfully deploying the electronic survey with electronic health record (EHR)-embedded CDS.<\/jats:p><jats:p>\n          Results\u2003Out of 79,780 eligible adolescents, 6,165 adolescents completed the confidential health survey between April 12, 2021 and September 25, 2022. The CDS was triggered indicating the patient was at risk or consented to STI testing across all six sites 2,058 times. The average percentage of time the CDS was acknowledged by a provider was 81.6% (range 45.7\u201397.6%). The median number of providers who acknowledged each instance of the CDS was 2.0. STI testing was ordered from the CDS on average 47.3% of the time. CDS acknowledged selection of \u201cother\u201d and \u201c[testing] already ordered\u201d was the most frequent indication STI testing was not ordered from the CDS.<\/jats:p><jats:p>\n          Conclusion\u2003Successful deployment of patient-facing screeners with integrated electronic CDS across multiple healthcare institutions is feasible. A combination of different types of IT and informatics expertise with local knowledge of clinical workflows is essential to success.<\/jats:p>","DOI":"10.1055\/a-2480-4628","type":"journal-article","created":{"date-parts":[[2024,11,22]],"date-time":"2024-11-22T02:23:54Z","timestamp":1732242234000},"page":"283-294","source":"Crossref","is-referenced-by-count":2,"title":["Multisite Implementation of a Sexual Health Survey and Clinical Decision Support to Promote Adolescent Sexually Transmitted Infection Screening"],"prefix":"10.1055","volume":"16","clinical-trial-number":[{"clinical-trial-number":"nct03715335","registry":"10.18810\/clinical-trials-gov"}],"author":[{"given":"Sarah K.","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine, Department of Pediatrics, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judith W.","family":"Dexheimer","sequence":"additional","affiliation":[{"name":"Divisions of Emergency Medicine and Biomedical Informatics, Cincinnati Children's Hospital Medical Center; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph J.","family":"Zorc","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine, Department of Pediatrics, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chella A.","family":"Palmer","sequence":"additional","affiliation":[{"name":"University of Utah School of Medicine, Salt Lake City, Utah, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T Charles","family":"Casper","sequence":"additional","affiliation":[{"name":"University of Utah School of Medicine, Salt Lake City, Utah, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristin S.","family":"Stukus","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine, Nationwide Children's Hospital, Ohio State University College of Medicine, Columbus, Ohio, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle L.","family":"Pickett","sequence":"additional","affiliation":[{"name":"Division of Pediatric Emergency Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cynthia J.","family":"Mollen","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine, Department of Pediatrics, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cara L.","family":"Elsholz","sequence":"additional","affiliation":[{"name":"University of Utah School of Medicine, Salt Lake City, Utah, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea T.","family":"Cruz","sequence":"additional","affiliation":[{"name":"Divisions of Pediatric Emergency Medicine and Pediatric Infectious Diseases, Department of Pediatrics, Baylor College of Medicine, Houston, Texas, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin M.","family":"Augustine","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine, Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital, Northwestern University Feinberg School of Medicine, Chicago, Illinois, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monika K.","family":"Goyal","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine, Department of Pediatrics, Children's National Hospital, George Washington University, Washington, District of Columbia, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer L.","family":"Reed","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, United 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