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. Author manuscript; available in PMC: 2020 Feb 3.
Published in final edited form as: Int J Med Inform. 2017 Oct 23;114:121–129. doi: 10.1016/j.ijmedinf.2017.10.014

Table 3.

Effect of the GASP intervention on clinical documentation.

Documentation scores, post (with or without RST) vs. pre (without RST) intervention

Condition n Comparison # Criteria Difference Lower Upper p-value
Hypertension 46 Scoring criteria 14 21% 16% 27%  < 0.001
Control criteria 6 −4% −8% 1% 0.1
Diabetes 19 Scoring criteria 15 24% 17% 30%  < 0.001
Control criteria 7 −1% −5% 2% 0.4
Chronic Respiratory Diseases 22 Scoring criteria 17/18 17% 12% 22%  < 0.001
Control criteria 6 −2% −8% 5% 0.59

Charts from the same patients (n) were scored both before and after the introduction of the intervention. Pre-intervention scores reflect chart documentation without RSTs. In the three-month pre-intervention period, there were on average 3.0 encounters per patient for HTN, 3.3 for DM, and 2.5 for CRD, and scores are the average across encounters for each patient. In the three months following the introduction of the intervention, there were on average 2.9 encounters per patient for HTN, 2.7 for DM, and 2.6 for CRD. RSTs were used in 49% of clinical encounters for HTN, 51% for DM, and 67% for CRD. Post-intervention scores reflect documentation with or without the use of RSTs. A paired t-test was conducted by taking the differences in scores for each patient between the pre- and post-intervention periods for both ‘Scoring’ and ‘Control’ criteria. The average difference across patients, and the lower and upper limits of the confidence intervals are reported, along with corresponding p-values.