{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,25]],"date-time":"2025-10-25T12:47:41Z","timestamp":1761396461613,"version":"3.37.3"},"reference-count":56,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2023,2,20]],"date-time":"2023-02-20T00:00:00Z","timestamp":1676851200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000092","name":"National Library of Medicine","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000092","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["1R01HL122225"],"award-info":[{"award-number":["1R01HL122225"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,4,19]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To improve problem list documentation and care quality.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and methods<\/jats:title>\n                  <jats:p>We developed algorithms to infer clinical problems a patient has that are not recorded on the coded problem list using structured data in the electronic health record (EHR) for 12 clinically significant heart, lung, and blood diseases. We also developed a clinical decision support (CDS) intervention which suggests adding missing problems to the problem list. We evaluated the intervention at 4 diverse healthcare systems using 3 different EHRs in a randomized trial using 3 predetermined outcome measures: alert acceptance, problem addition, and National Committee for Quality Assurance Healthcare Effectiveness Data and Information Set (NCQA HEDIS) clinical quality measures.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>There were 288\u00a0832 opportunities to add a problem in the intervention arm and the problem was added 63\u00a0777 times (acceptance rate 22.1%). The intervention arm had 4.6 times as many problems added as the control arm. There were no significant differences in any of the clinical quality measures.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>The CDS intervention was highly effective at improving problem list completeness. However, the improvement in problem list utilization was not associated with improvement in the quality measures. The lack of effect on quality measures suggests that problem list documentation is not directly associated with improvements in quality measured by National Committee for Quality Assurance Healthcare Effectiveness Data and Information Set (NCQA HEDIS) quality measures. However, improved problem list accuracy has other benefits, including clinical care, patient comprehension of health conditions, accurate CDS and population health, and for research.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>An EHR-embedded CDS intervention was effective at improving problem list completeness but was not associated with improvement in quality measures.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jamia\/ocad020","type":"journal-article","created":{"date-parts":[[2023,2,20]],"date-time":"2023-02-20T15:18:45Z","timestamp":1676906325000},"page":"899-906","source":"Crossref","is-referenced-by-count":4,"title":["A multi-site randomized trial of a clinical decision support intervention to improve problem list completeness"],"prefix":"10.1093","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6844-145X","authenticated-orcid":false,"given":"Adam","family":"Wright","sequence":"first","affiliation":[{"name":"Department of Biomedical Informatics, Vanderbilt University Medical Center , Nashville, Tennessee, USA"},{"name":"Department of Medicine, Vanderbilt University Medical Center , Nashville, Tennessee, USA"},{"name":"Department of Medicine, Brigham and Women\u2019s Hospital , Boston, Massachusetts, USA"},{"name":"Digital, Mass General Brigham , Boston, Massachusetts, USA"},{"name":"HealthIT, Vanderbilt University Medical Center , Nashville, Tennessee, USA"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6138-7048","authenticated-orcid":false,"given":"Richard","family":"Schreiber","sequence":"additional","affiliation":[{"name":"Physician Informatics and Department of Internal Medicine, Penn State Health Holy Spirit Medical Center , Camp Hill, Pennsylvania, 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Medicine, Brigham and Women\u2019s Hospital , Boston, Massachusetts, USA"}]},{"given":"Miguel","family":"Divo","sequence":"additional","affiliation":[{"name":"Department of Medicine, Brigham and Women\u2019s Hospital , Boston, Massachusetts, USA"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2318-7261","authenticated-orcid":false,"given":"David A","family":"Dorr","sequence":"additional","affiliation":[{"name":"Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University , Portland, Oregon, USA"}]},{"given":"Thu-Trang","family":"Hickman","sequence":"additional","affiliation":[{"name":"Department of Medicine, Brigham and Women\u2019s Hospital , Boston, Massachusetts, USA"},{"name":"Community Health, Mass General Brigham , Boston, Massachusetts, USA"}]},{"given":"Salman","family":"Hussain","sequence":"additional","affiliation":[{"name":"Department of Medicine, Brigham and Women\u2019s Hospital , Boston, Massachusetts, 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