Department of Community, Environment, and Policy, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona (Dr Harber); Department of Medicine, Yale University School of Medicine, New Haven, Connecticut (Dr Redlich); Department of Medicine, University of Maryland, Baltimore, Maryland (Dr Hines); and National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention (CDC), Morgantown, West Virginia (Dr Storey, Ms Filios).
J Occup Environ Med. 2017 Nov;59(11):e231-e235. doi: 10.1097/JOM.0000000000001182.
The aim of this study was to describe a recommended clinical decision support (CDS) approach for work-related asthma for incorporation in electronic health records (EHRs) for primary care health care providers.
Subject matter experts convened by the American Thoracic Society reviewed available guidelines and published literature to develop specific recommendations.
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.
An effective CDS system for improving recognition of work-related asthma may help reduce morbidity and mortality of asthma in adults.
本研究旨在描述一种推荐的工作相关哮喘临床决策支持 (CDS) 方法，以便纳入初级保健医疗服务提供者的电子健康记录 (EHR)。
美国胸科学会召集的主题专家审查了现有的指南和已发表的文献，以制定具体建议。
重要的是要识别出新发或恶化的哮喘患者中可能存在的工作相关哮喘。工作组建议在 EHR 系统中纳入三个关于哮喘症状与工作之间时间关系的简单问题，并确定触发该干预的具体临床情况。对三个问题的回答为肯定的患者应记录哮喘诊断，并进行进一步评估、教育和可能的转介。
用于提高对工作相关哮喘的认识的有效 CDS 系统可能有助于降低成人哮喘的发病率和死亡率。
