title: Impact of integrating public health clinical decision support alerts into electronic health records on testing for gastrointestinal illness.
abstract: Laboratory testing by clinicians is essential to outbreak investigations. Electronic health records may increase testing through clinical decision support that alerts providers about existing outbreaks and facilitates laboratory ordering. The impact on laboratory testing was evaluated for foodborne disease outbreaks between 2006 and 2009. After controlling for standard public health messaging and season, decision support resulted in a significant increase in laboratory testing and may be useful in enhancing public health messaging and provider action.
authors.affiliation: Primary Care Information Project, New York City Department of Health and Mental Hygiene, Queens, NY, USA. wwu2@health.nyc.gov
authors.forename: Winfred Y
authors.initials: WY
authors.lastname: Wu
authors.forename: George
authors.initials: G
authors.lastname: Hripcsak
authors.forename: Joseph
authors.initials: J
authors.lastname: Lurio
authors.forename: Michelle
authors.initials: M
authors.lastname: Pichardo
authors.forename: Rachel
authors.initials: R
authors.lastname: Berg
authors.forename: Michael D
authors.initials: MD
authors.lastname: Buck
authors.forename: Frances P
authors.initials: FP
authors.lastname: Morrison
authors.forename: Kwame
authors.initials: K
authors.lastname: Kitson
authors.forename: Neil
authors.initials: N
authors.lastname: Calman
authors.forename: Farzad
authors.initials: F
authors.lastname: Mostashari
mesh_terms: D020000:Decision Support Systems, Clinical; D004196:Disease Outbreaks; D057286:Electronic Health Records / Q000706:statistics & numerical data*; D004927:Escherichia coli Infections / Q000175:diagnosis / Q000453:epidemiology; D019453:Escherichia coli O157; D005517:Foodborne Diseases / Q000175:diagnosis* / Q000453:epidemiology; D005767:Gastrointestinal Diseases / Q000175:diagnosis* / Q000453:epidemiology; D006801:Humans; D009519:New York City / Q000453:epidemiology; D011634:Public Health; D012480:Salmonella Infections / Q000175:diagnosis / Q000453:epidemiology