Nai-Jung Chen, Chiu-Mieh Huang, Ching-Chih Fan, Li-Ting Lu, Fen-He Lin, Jung-Yu Liao, Jong-Long Guo
User Evaluation of a Chat-Based Instant Messaging Support Health Education Program for Patients With Chronic Kidney Disease: Preliminary Findings of a Formative Study
JMIR formative research
teen access sexual health care essential 21st century cures act mandates electronic health information shared patients standard exists meet mandate teens proxy caregivers confidential shared teen sexual history sexhx section notebased allows clinicians easily find information promotes clinical decision support protects privacy nevertheless significant variability existed sexhx section usage sexhx documentation teen notesharing practices teens aged 1217 admitted pediatric hospital medicine service aim increase use sexhx section 10 increase history physical notes hps shared teens 5 12 months quality improvement methodology tools used conduct barrier analysis implement series interventions included education training electronic health record clinical decision support statistical process control charts used examine impact interventions baseline april july 2021 sexual activity documented reviewed sexhx section 56 teen patients intervention period center line shifted 72 baseline 76 teen hps shared patients percentage hps shared revealed centerline shift 81 throughout intervention period shared teen sexhx section innovative tool capturing sensitive patient history discretely demonstrated increased sustained sexhx section use hp notesharing quality improvement initiative