Utilization of a clinical decision support system to increase chlamydia screening rates in sexually active young women: A quality improvement project
Dr. Raine Martin, DNP, MSN, FNP-BC
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The objective of this Doctor of Nursing Practice (DNP) scholarly project was to implement an evidence-based intervention, the clinical decision support system (CDSS), and include education to promote increased routine chlamydia screening practices in an outpatient clinic. An additional objective was to assess CDSS usability using the System Usability Scale (SUS) to evaluate for project sustainability. The project design was a quasi-experimental study with post-implementation data collection with a comparison of norms of baseline chlamydia screening from the prior year. The project was completed over eight weeks. The project was implemented at a family health clinic located in a southcentral state. The project impacted sexually active young females aged 18 to 24 years old who presented for routine care in the outpatient clinic. Project participants included four clinic providers, four medical assistants, lab technician, and the office manager. A chi-square test of independence was utilized to evaluate the difference in chlamydia screening rates baseline and post-implementation. Chlamydia screening rates were significantly higher than baseline at χ2(1) = 15.36, p < 0.0001 with an overall 18.88% increase. The odds ratio determined that the odds of screening were 3.6 times greater post-implementation as compared to the baseline rate without intervention. The evaluation of CDSS usability was assessed using the SUS, which concluded about average usability.
This scholarly project supports that an educational component, in addition to CDSS implementation and interprofessional involvement, increase intervention success on routine chlamydia screening practices. By increasing chlamydia screening, the detection of asymptomatic infection will expand and expedite treatment to prevent adverse health outcomes. The use of a CDSS can serve as a cost-effective and evidence-based tool to increase chlamydia screening in practice and other preventive screenings.
|Review Type||None: Degree-based Submission|
|Evidence Level||Quasi-Experimental Study, Other|
|Research Approach||Quantitative Research|
Clinical Decision Support Systems;
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