@article{ETD,
      recid = {7455},
      author = {Friedman, Richard},
      title = {Use of the ambulatory electronic health record  (Allscripts® AEHR) to mine quality metrics: a pilot study  in an ambulatory pediatric cardiac practice for evaluation  of chest pain in children 5-18 years of age},
      publisher = {Oregon Health and Science University},
      address = {2018},
      number = {ETD},
      abstract = {Chest pain is a common presenting complaint for evaluation  of a child (<18 years of age) in a pediatric cardiology  clinic.  Despite the large number of patients evaluated for  this complaint, a cardiac cause is rarely found.  The  American College of Cardiology sponsored an Expert Panel to  develop and publish Quality Metrics for evaluation of  children 5-18 years of age for providers to use in order to  deliver quality care to these patients.  Using a Modified  Delphi Process to reach consensus, they found that only 3  of 10 candidate quality metrics would be useful. Despite  published criteria for use of cardiac testing for children  with a presenting complaint of chest pain without co-morbid  conditions (congenital heart disease, recent chest trauma,  rheumatologic diseases, etc;) and without exertional chest  pain, over one third of patients still underwent  transthoracic echocardiograms.  This result is  significantly higher than published studies using   consensus algorithm-based recommendations.},
      url = {http://digitalcollections.ohsu.edu/record/7455},
      doi = {https://doi.org/10.6083/r494vk63m},
}