Electronic medical record alert increases HIV screening rates: the Foch hospital pilot POP-up project
Abstract Background Despite significant national human immunodeficiency virus (HIV) screening activity, there are persistent delays in screening, and many missed diagnostic opportunities. To facilitate targeted screening, an electronic medical record (EMR) alert reminder was applied in the Foch hosp...
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| Format: | Article |
| Language: | English |
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BMC
2022-06-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-022-08176-y |
| _version_ | 1811242167916560384 |
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| author | Alexandre Vallée Dimi Sveltlane Julie Trichereau Stéphane Neveu Erwan Fourn Catherine Majerholc Philippe Lesprit Laurence Mazaux Seheno Harijaona Henintsoa Grazyna Matejczuk Marc Vasse David Zucman |
| author_facet | Alexandre Vallée Dimi Sveltlane Julie Trichereau Stéphane Neveu Erwan Fourn Catherine Majerholc Philippe Lesprit Laurence Mazaux Seheno Harijaona Henintsoa Grazyna Matejczuk Marc Vasse David Zucman |
| author_sort | Alexandre Vallée |
| collection | DOAJ |
| description | Abstract Background Despite significant national human immunodeficiency virus (HIV) screening activity, there are persistent delays in screening, and many missed diagnostic opportunities. To facilitate targeted screening, an electronic medical record (EMR) alert reminder was applied in the Foch hospital. Screening rates after implementation were reported. Methods A prospective cohort analysis was performed in Foch Hospital between 24 April 2018 and 4 October 2019 among hospitalized patients born in high HIV prevalence countries and/or having social vulnerability criteria (universal health coverage). From the admissions software, when specific low health coverage was provided and/or high-prevalence country of birth was registered, an electronic alert (EMR alert) appeared on the ward where the patient was hospitalized. The EMR alert database was examined for HIV screening and activity responses from each service of the Hospital. Results Eight thousand one hundred eighty-one alerts were recovered during the period for 1448 patients. 27 services used the EMR alert. Most of the alerts were directly closed (74.4%), 14.5% of the alerts were closed due to doctors declaring that they did not have time to respond. 297 (3.6%) of the 8181 alerts resulted in a prescription of HIV serology corresponding for 20.5% of the patients. Conclusion EMR alert can help to increase the rate of HIV screening in hospital care practice. Through this EMR alert system, HIV screening can be implemented as a common practice like any other medical alternative. Future research should examine the factors influencing physicians’ attitudes to this alert system to improve the HIV screening rate. |
| first_indexed | 2024-04-12T13:47:49Z |
| format | Article |
| id | doaj.art-ced8435a61f8431fbf5f4e740c839979 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-04-12T13:47:49Z |
| publishDate | 2022-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-ced8435a61f8431fbf5f4e740c8399792022-12-22T03:30:37ZengBMCBMC Health Services Research1472-69632022-06-012211810.1186/s12913-022-08176-yElectronic medical record alert increases HIV screening rates: the Foch hospital pilot POP-up projectAlexandre Vallée0Dimi Sveltlane1Julie Trichereau2Stéphane Neveu3Erwan Fourn4Catherine Majerholc5Philippe Lesprit6Laurence Mazaux7Seheno Harijaona Henintsoa8Grazyna Matejczuk9Marc Vasse10David Zucman11Department of Epidemiology – Data – Biostatistics, Delegation of Clinical Research and Innovation, Foch HospitalDepartment of Internal Medicine, Réseau Ville Hôpital Val de Seine, Foch HospitalDepartment of Epidemiology – Data – Biostatistics, Delegation of Clinical Research and Innovation, Foch HospitalDépartement d’Informatique, Hôpital FochDepartment of Internal Medicine, Réseau Ville Hôpital Val de Seine, Foch HospitalDepartment of Internal Medicine, Réseau Ville Hôpital Val de Seine, Foch HospitalDepartment of Hygiene and Infectious Disease, Foch HospitalService de Biologie Clinique, Hôpital FochDepartment of Epidemiology – Data – Biostatistics, Delegation of Clinical Research and Innovation, Foch HospitalDépartement d’Informatique, Hôpital FochService de Biologie Clinique, Hôpital FochDepartment of Internal Medicine, Réseau Ville Hôpital Val de Seine, Foch HospitalAbstract Background Despite significant national human immunodeficiency virus (HIV) screening activity, there are persistent delays in screening, and many missed diagnostic opportunities. To facilitate targeted screening, an electronic medical record (EMR) alert reminder was applied in the Foch hospital. Screening rates after implementation were reported. Methods A prospective cohort analysis was performed in Foch Hospital between 24 April 2018 and 4 October 2019 among hospitalized patients born in high HIV prevalence countries and/or having social vulnerability criteria (universal health coverage). From the admissions software, when specific low health coverage was provided and/or high-prevalence country of birth was registered, an electronic alert (EMR alert) appeared on the ward where the patient was hospitalized. The EMR alert database was examined for HIV screening and activity responses from each service of the Hospital. Results Eight thousand one hundred eighty-one alerts were recovered during the period for 1448 patients. 27 services used the EMR alert. Most of the alerts were directly closed (74.4%), 14.5% of the alerts were closed due to doctors declaring that they did not have time to respond. 297 (3.6%) of the 8181 alerts resulted in a prescription of HIV serology corresponding for 20.5% of the patients. Conclusion EMR alert can help to increase the rate of HIV screening in hospital care practice. Through this EMR alert system, HIV screening can be implemented as a common practice like any other medical alternative. Future research should examine the factors influencing physicians’ attitudes to this alert system to improve the HIV screening rate.https://doi.org/10.1186/s12913-022-08176-yElectronic medical recordHIVHIV screeningPreventative careDecision support |
| spellingShingle | Alexandre Vallée Dimi Sveltlane Julie Trichereau Stéphane Neveu Erwan Fourn Catherine Majerholc Philippe Lesprit Laurence Mazaux Seheno Harijaona Henintsoa Grazyna Matejczuk Marc Vasse David Zucman Electronic medical record alert increases HIV screening rates: the Foch hospital pilot POP-up project BMC Health Services Research Electronic medical record HIV HIV screening Preventative care Decision support |
| title | Electronic medical record alert increases HIV screening rates: the Foch hospital pilot POP-up project |
| title_full | Electronic medical record alert increases HIV screening rates: the Foch hospital pilot POP-up project |
| title_fullStr | Electronic medical record alert increases HIV screening rates: the Foch hospital pilot POP-up project |
| title_full_unstemmed | Electronic medical record alert increases HIV screening rates: the Foch hospital pilot POP-up project |
| title_short | Electronic medical record alert increases HIV screening rates: the Foch hospital pilot POP-up project |
| title_sort | electronic medical record alert increases hiv screening rates the foch hospital pilot pop up project |
| topic | Electronic medical record HIV HIV screening Preventative care Decision support |
| url | https://doi.org/10.1186/s12913-022-08176-y |
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