Creating a diabetes foot reminder-based registry using the electronic medical record
Year: 2010
Type: article
Study design: Clinical Trial
Abstract: OBJECTIVE: We created a new diabetes foot examination clinical reminder to directly populate a foot risk registry and examined its accuracy versus administrative data. METHODS: A pre- and post-test design assessed accuracy of coding foot risk and clinician acceptability. The intervention hospital's reminder was replaced with a dialogue tick box containing the International Diabetic Foot Classification System to populate risk using health factors. RESULTS: There were no hospital agreement differences for each foot condition except diabetes and peripheral neuropathy, demonstrating higher agreement at the intervention hospital. There were no differences in service agreement adherence or consulting rates although both demonstrated significantly lower consulting rates at study end. The intervention hospital had a significantly lower patient cancellation rate (1% v. 5%, P=0.01) and better coding for grade 3 patients. The new reminder demonstrated high acceptability. CONCLUSIONS: The registry system resulted in improved discrimination of the highest foot risk. Further testing is recommended.
Authors: James Wrobel, William Chagares, Rodney Stuck, Frances Weaver, Ryan Crews, Lauren Rapacki, Rhonda Paulson, David Armstrong
Institution: Captain James A. Lovell Federal Health Care Center
Language: English
Subfield: Health Information Management
Field: Health Professions
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2209690219