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Effect of a Computer-Based Decision Support Intervention on Autism Spectrum Disorder Screening in Pediatric Primary Care Clinics
Author(s) -
Stephen M. Downs,
Nerissa S. Bauer,
Chandan Saha,
Susan Ofner,
Aaron E. Carroll
Publication year - 2019
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2019.17676
Subject(s) - medicine , autism spectrum disorder , randomized controlled trial , pediatrics , intervention (counseling) , ethnic group , autism , clinical decision support system , family medicine , health care , psychiatry , surgery , sociology , anthropology , economics , economic growth
Key Points Question Can computer automation coupled with decision support increase timely screening for autism spectrum disorders in primary care practice? Findings This cluster randomized clinical trial found that computer-based screening and decision support embedded into the routine workflow in primary care increased rates of screening from 0% to 100%, but physicians responded to approximately half of positive screening results. Meaning Automating the screening process can ensure that screening takes place, but follow-through of the results is vulnerable to human error.

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