000007455 001__ 7455 000007455 005__ 20240124114244.0 000007455 0247_ $$2DOI$$a10.6083/r494vk63m 000007455 037__ $$aETD 000007455 245__ $$aUse 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 000007455 260__ $$bOregon Health and Science University 000007455 269__ $$a2018 000007455 336__ $$aCapstone 000007455 520__ $$aChest 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. 000007455 540__ $$fCC BY 000007455 542__ $$fIn copyright - single owner 000007455 650__ $$aPediatrics$$023687 000007455 650__ $$aElectronic Health Records$$038928 000007455 650__ $$aChest Pain$$016453 000007455 650__ $$aEchocardiography$$018178 000007455 6531_ $$aelectronic medical record 000007455 691__ $$aSchool of Medicine$$041369 000007455 692__ $$aDepartment of Medical Informatics and Clinical Epidemiology$$041422 000007455 7001_ $$aFriedman, Richard$$uOregon Health and Science University$$041354 000007455 8564_ $$96e97ef42-de9c-4c0b-a587-e1f560cbdba5$$s906876$$uhttps://digitalcollections.ohsu.edu/record/7455/files/friedman.richard.2018.pdf 000007455 905__ $$a/rest/prod/r4/94/vk/63/r494vk63m 000007455 909CO $$ooai:digitalcollections.ohsu.edu:7455$$pstudent-work 000007455 980__ $$aBiomedical Informatics