Improving Documentation of Pediatric Height, Weight, and Body Mass Index by Primary Care Providers

Canadian Journal of Dietetic Practice and Research : a Publication of Dietitians of Canada = Revue Canadienne De La Pratique Et De La Recherche En Diététique : Une Publication Des Diététistes Du Canada
Coraine V WrayJohn V Logomarsino

Abstract

The regular documentation of anthropometric data in an electronic medical record (EMR) is one tracking method used by primary care providers to follow the growth trajectory and development of children in their health care practices. EMR reminders have been proposed as a method to increase recording of pediatric height and weight by primary care providers, leading to potentially better detection and management of children classified as overweight or obese. The aim of this pre-post study was to improve a Family Health Team's physician documentation of pediatric height and weight through the implementation of an EMR reminder alert tool. The documentation rate for children 4-7 years old in the 6 months before intervention was 36% of children seen. After implementation of EMR reminder alerts, primary care physicians' documentation rate rose to 45% (9% increase; P < 0.01), but it was below the 15% target increase. Better documentation of pediatric height and weight by family physicians is needed to improve monitoring of children's growth trajectories. Additional strategies to increase documentation rates are needed.

References

May 11, 2010·Journal of the American Board of Family Medicine : JABFM·Tracy S SesselbergMark S Johnson
May 14, 2011·Clinical Pediatrics·Julia McDonaldElsie M Taveras
Mar 16, 2012·The American Journal of Clinical Nutrition·William JohnsonEllen W Demerath
Aug 1, 2012·Journal of the American Academy of Nurse Practitioners·Carla SaviñonJane Blood-Siegfried
Nov 15, 2013·The New England Journal of Medicine·Matthew W Gillman, David S Ludwig
Jan 15, 2014·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Ulfat ShaikhRobert S Byrd
Feb 27, 2014·JAMA : the Journal of the American Medical Association·Cynthia L OgdenKatherine M Flegal
Apr 1, 2015·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Carolyn Summerbell, Tamara Brown
Apr 1, 2015·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·UNKNOWN Canadian Task Force on Preventive Health Care
Apr 1, 2015·Pediatrics·Kenneth ResnicowRichard C Wasserman
Dec 18, 2015·Clinical Pediatrics·Vidhu V ThakerStavroula K Osganian
May 11, 2016·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Yoni Freedhoff
May 11, 2016·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Celia Rodd, Atul K Sharma
Sep 28, 2016·Health Promotion and Chronic Disease Prevention in Canada·D P RaoG C Jayaraman

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.