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Choudhary D, Brown B, Khawar N, et al. Implementation of Electronic Medical Record Template Improves Screening for Complications in Children with Type 1 Diabetes Mellitus. Pediatric Health Med Ther. 2020;11:219-223doi: 10.2147/PHMT.S233998.
Choudhary, D., Brown, B., Khawar, N., Narula, P., & Agdere, L. (2020). Implementation of Electronic Medical Record Template Improves Screening for Complications in Children with Type 1 Diabetes Mellitus. Pediatric health, medicine and therapeutics, 11219-223. https://doi.org/10.2147/PHMT.S233998
Choudhary, Deepak, et al. "Implementation of Electronic Medical Record Template Improves Screening for Complications in Children with Type 1 Diabetes Mellitus." Pediatric health, medicine and therapeutics vol. 11 (2020): 219-223. doi: https://doi.org/10.2147/PHMT.S233998
Choudhary D, Brown B, Khawar N, Narula P, Agdere L. Implementation of Electronic Medical Record Template Improves Screening for Complications in Children with Type 1 Diabetes Mellitus. Pediatric Health Med Ther. 2020 Jul 09;11:219-223. doi: 10.2147/PHMT.S233998. eCollection 2020. PMID: 32753999; PMCID: PMC7358082.
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Pediatric Health Med Ther. 2020 Jul 09;11:219-223. doi: 10.2147/PHMT.S233998. eCollection 2020.

Implementation of Electronic Medical Record Template Improves Screening for Complications in Children with Type 1 Diabetes Mellitus.

Pediatric health, medicine and therapeutics

Deepak Choudhary, Brande Brown, Nayaab Khawar, Pramod Narula, Levon Agdere

Affiliations

  1. Department of Pediatrics Emergency Medicine, University of Arkansas for Medical Sciences, Arkansas Children's Hospital, Little Rock, AR 72202, USA.
  2. New York-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY 11215, USA.

PMID: 32753999 PMCID: PMC7358082 DOI: 10.2147/PHMT.S233998

Abstract

OBJECTIVE: Health professionals and patients should follow comprehensive screening guidelines to recognize early signs of long-term complications for insulin-dependent type 1 diabetes mellitus (T1DM). The aim of this study is to demonstrate that utilization of electronic medical record (EMR) templates for diabetes management improves adherence to International Society for Pediatric and Adolescent Diabetes (ISPAD) screening guidelines.

METHODS: All patients with T1DM who were seen in the outpatient pediatric endocrine clinic (age 0-22 years old) at an urban community-based community hospital during the 2014 calendar year were enrolled in the study (n=49). A retrospective chart review was performed and audited against ISPAD guidelines. An EMR template and order set was then created based on ISPAD screening guidelines with the aim of improving compliance. The templates were implemented in 2015 (initial phase) and 2016 (maintenance phase) and these data were compared to baseline data. A chi-squared test was performed to analyze the differences between the data using SAS version 9.4 (SAS Institute, Inc). A p-value less than 0.05 was considered significant.

RESULTS: Significant improvements (p< 0.05) in screening guideline adherence from baseline to maintenance phase data were found for annual retinopathy (0% to 45%) and neuropathic foot (0% to 64%) exams, screening for microalbuminuria (49% to 79%), celiac disease (6% to 81%), lipids (63% to 86%), and basic metabolic panel (69% to 88%). Of note, thyroid function testing was also increased, but was not statistically significant between the years.

CONCLUSION: The utilization of EMR templates and order sets for T1DM are valuable tools to aid medical providers in adhering to ISPAD screening guideline.

© 2020 Choudhary et al.

Keywords: benchmarking; chronic disease; disease management; electronic medical record; pediatrics; quality improvement; screening tool; standardized documentation; type 1 diabetes

Conflict of interest statement

The authors have no conflicts of interest to disclose.

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