Table 2.
Comparison of CA-CDSS at CHP vs UPMC Hamot and UPMC Mercy
| CA-CDSS at CHP | CA-CDSS at UPMC Hamot and UPMC Mercy | |
|---|---|---|
| Study period | Baseline 10/21/14-4/6/15 | Preintervention 9/29/15-5/10/16 |
| RCT 4/8/15-11/10/15 | Intervention 5/11/16-1/31/17 | |
| Use of a universal child abuse screen | No | Yes |
| Use of natural language processing | No | Yes |
| Use of discrete fields in nursing documentation | Yes | No |
| Pop-up alerts to providers | Yes; provider continue to receive alerts until a physical abuse order set is used or until provider selects option to stop alerts | Yes, 1 alert per provider |
| Provider response to the alert | Provider has 3 options to respond to alert to see the physical abuse order set– | Provider can only acknowledge the alert |
| Yes, see the physical abuse order set | ||
| Not now (“snooze” the alert until chart is opened again | ||
| No, never see the order set (extinguish further alerts) | ||
| Physical abuse specific order sets | Yes | Yes |
| Does the alert link provider directly to the order set? | Yes | No |
CA-CDSS: child abuse clinical decision support system; EHR: electronic health record; RCT: randomized controlled trial; RN: registered nurse; UPMC: University of Pittsburgh Medical Center.