Document Detail


Childhood obesity: Can electronic medical records customized with clinical practice guidelines improve screening and diagnosis?
MedLine Citation:
PMID:  22845029     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Purpose: The purpose of this project was to determine if customization of the electronic medical record (EMR) using evidence-based practice guidelines developed by the National Association of Pediatric Nurse Practitioners and the Expert Panel recommendations for the prevention, screening, and treatment of childhood and adolescent overweight and obesity would improve the rate of screening and diagnosis of obesity in children, 7 to 18 years of age. Data resources: A retrospective review of encounters before and after implementation of customized EMR was conducted in a community health center. Data collected were compared for documentation of body mass index (BMI), completion of growth charts, scoring of risk questionnaire, and diagnosis of overweight or obesity. Conclusions: There was a clear increase in the frequency of recording BMI, completing BMI growth charts, and scoring questionnaires between written and electronic medical records. The number of children diagnosed with overweight or obesity increased with customized EMR but still remains well below the rates of obesity for this community. Implications for practice: Customizing EMR with clinical practice guidelines improved adherence to recommendations for screening and identification of childhood overweight and obesity. Increased recognition and diagnosis will lead to improved interventions and improve outcomes for childhood obesity.
Authors:
Carla Saviñon; Julie Smith Taylor; Janie Canty-Mitchell; Jane Blood-Siegfried
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Publication Detail:
Type:  Journal Article     Date:  2012-04-26
Journal Detail:
Title:  Journal of the American Academy of Nurse Practitioners     Volume:  24     ISSN:  1745-7599     ISO Abbreviation:  J Am Acad Nurse Pract     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-07-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8916634     Medline TA:  J Am Acad Nurse Pract     Country:  United States    
Other Details:
Languages:  eng     Pagination:  463-71     Citation Subset:  N    
Copyright Information:
©2012 The Author(s) Journal compilation ©2012 American Academy of Nurse Practitioners.
Affiliation:
University of North Carolina Wilmington, Wilmington, North Carolina University of North Carolina Wilmington School of Nursing, Wilmington, North Carolina Duke University School of Nursing, Durham, North Carolina.
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