The influence of integrating clinical practice guideline order bundles into a general admission order set on guideline adoption.

ABSTRACT: Objectives of this study were to (1) describe barriers to using clinical practice guideline (CPG) admission order sets in a pediatric hospital and (2) determine if integrating CPG order bundles into a general admission order set increases adoption of CPG-recommended orders compared to standalone CPG order sets. We identified CPG-eligible encounters and surveyed admitting physicians to understand reasons for not using the associated CPG order set. We then integrated CPG order bundles into a general admission order set and evaluated effectiveness through summative usability testing in a simulated environment. The most common reasons for the nonuse of CPG order sets were lack of awareness or forgetting about the CPG order set. In usability testing, CPG order bundle use increased from 27.8% to

SUBMITTER: Mrosak J 

PROVIDER: S-EPMC8497878 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature