Work

Impact of an Electronic Medical Record-Based Clinical Decision Support Tool for Dysphagia Screening on Care Quality

Year: 2012

Type: article

Abstract: BACKGROUND AND PURPOSE: Dysphagia screening (DS) before oral intake in patients with acute stroke is a hospital-level performance measure. We report outcomes of an initiative to improve compliance to this quality measure. METHODS: The design was a pre- versus postintervention comparison study. The Intervention was an electronic medical record-based clinical DS system embedded within stroke admission orders. The clinical DS was designed to facilitate DS in patients with stroke. The primary outcome was compliance to a process measure in patients with ischemic stroke: performance of a swallow screen before oral intake. RESULTS: DS measure compliance increased from 36% to 74% (P=0.001). Chart audits found screened patients were more likely to have clinical DS-embedded admission orders initiated or stroke unit admission. CONCLUSIONS: The electronic medical record offers a ready platform for clinical DS implementation. DS is a difficult performance measure to improve. The described clinical DS has the potential for improving performance on this challenging care quality measure.

Source: Stroke

DOI: 10.1161/strokeaha.112.662536

Authors: Kamakshi Lakshminarayan, Nassir Rostambeigi, Candace C. Fuller, James M. Peacock, Albert W. Tsai

Institutions: University of Minnesota, Minnesota Department of Health

Language: English

Topic: Dysphagia Assessment and Management

Subfield: Speech and Hearing

Field: Health Professions

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: bronze

Funders: National Institute of Neurological Disorders and Stroke, National Center for Chronic Disease Prevention and Health Promotion