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

Details

• Alternative Title:
  J Occup Environ Med
• Personal Author:
  Harber, Philip ; Redlich, Carrie A. ; Hines, Stella ; Filios, Margaret ; 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 CDS system for improving recognition of work-related asthma may help reduce morbidity and mortality of asthma in adults.
  
  
• Subjects:
  Asthma, Occupational Decision Support Systems, Clinical Electronic Health Records Humans Occupational Exposure Patient Education As Topic Practice Guidelines As Topic Primary Health Care Referral And Consultation Spirometry
• Keywords:
  Chlorination Clinical Decision Support Household Water Treatment Informatics Occupational Asthma Safe Water Storage Work-Related Asthma
• Source:
  J Occup Environ Med. 59(11):e231-e235
• Pubmed ID:
  29023337
• Pubmed Central ID:
  PMC6282164
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/
• Volume:
  59
• Issue:
  11
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:9a9e9a289ae0b2189e8dd814db57eb28457c018a3e7ac22ba632b978d7ad0aad
• Download URL:
  https://stacks.cdc.gov/view/cdc/61237/cdc_61237_DS1.pdf
• File Type:
  [PDF - 75.97 KB ]