TY  - GEN
N2  - 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.
DO  - 10.6083/r494vk63m
DO  - DOI
AB  - 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.
AD  - Oregon Health and Science University
T1  - 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
DA  - 2018
AU  - Friedman, Richard
L1  - https://digitalcollections.ohsu.edu/record/7455/files/friedman.richard.2018.pdf
PB  - Oregon Health and Science University
PY  - 2018
ID  - 7455
L4  - https://digitalcollections.ohsu.edu/record/7455/files/friedman.richard.2018.pdf
KW  - Pediatrics
KW  - Electronic Health Records
KW  - Chest Pain
KW  - Echocardiography
KW  - electronic medical record
TI  - 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
Y1  - 2018
L2  - https://digitalcollections.ohsu.edu/record/7455/files/friedman.richard.2018.pdf
LK  - https://digitalcollections.ohsu.edu/record/7455/files/friedman.richard.2018.pdf
UR  - https://digitalcollections.ohsu.edu/record/7455/files/friedman.richard.2018.pdf
ER  -