Recommendations for a Clinical Decision Support System for Work-Related Asthma in Primary Care Settings

Details

• Personal Author:
  Filios, Margaret S. ; Harber P ; Hines S ; Redlich CA ; Storey, Eileen
• Description:
  Objective: Describe a recommended clinical decision support approach for work-related asthma for incorporation in electronic health records for primary care health care providers. Methods: Subject matter experts convened by the American Thoracic Society reviewed available guidelines and published literature to develop specific recommendations. Results: It is important to recognize possible work-related asthma among persons with new-onset or worsening asthma. The work group recommends incorporating three simple questions about temporal relations between asthma symptoms and work in EHR systems and identified specific clinical conditions to trigger this intervention. Patients with positive responses to the three questions should have the asthma diagnosis documented and have further evaluation, education, and possible referral. Conclusions: An effective clinical decision support (CDS) system for improving recognition of work-related asthma may help reduce morbidity and mortality of asthma in adults. [Description provided by NIOSH]
• Subjects:
  Asthma, Occupational Decision Making Diagnosis Occupational Health Safety
• Keywords:
  Clinical Techniques Decision Making Diagnostic Techniques Electronic Health Records Guidelines Health Care Occupational Asthma
• ISSN:
  1076-2752
• Document Type:
  Text
• Funding:
  Contract
• Genre:
  Journal Article
• Place as Subject:
  Arizona ; Connecticut ; Maryland ; OSHA Region 1 ; OSHA Region 3 ; OSHA Region 9 ; West Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  RHD - Respiratory Health Division
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  59
• Issue:
  11
• NIOSHTIC Number:
  nn:20050539
• Citation:
  J Occup Environ Med 2017 Nov; 59(11):e231-e235
• Contact Point Address:
  Philip Harber, MD, MPH, University of Arizona, 1656 E Mabel St., Rm 112, Tucson, AZ 85724
• Email:
  pharber@email.arizona.edu
• Federal Fiscal Year:
  2018
• Performing Organization:
  American Thoracic Society
• Peer Reviewed:
  True
• Source Full Name:
  Journal of Occupational and Environmental Medicine
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:5dbb75393aa5128034c84811b98913a7347ea19d47479fa9a5e4a25de014553d9f92000dd5dedbb68bbf1aaa4c0fe47bf66e3e32a7d8823b0d12834f73e705e4
• Download URL:
  https://stacks.cdc.gov/view/cdc/210846/cdc_210846_DS1.pdf
• File Type:
  [PDF - 145.37 KB ]