The Development of a Clinical Decision Support System for the Management of Pediatric Food Allergy

Alana K. Otto, Ashley A. Dyer, Christopher M. Warren, Madeline Walkner, Bridget M. Smith, Ruchi S. Gupta*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

Pediatricians are often first-line providers for children with food allergy. Food allergy management guidelines have been developed but are cumbersome and confusing, and significant variation exists in pediatricians' management practices. We therefore consolidated the guidelines into 5 key steps for pediatricians caring for patients with food allergy and used rapid-cycle improvement methods to create a clinical decision support system to facilitate the management of food allergy in the primary care setting. This report details the development of the Food Allergy Support Tool (FAST), its pilot testing in 4 primary care pediatric practices, and our ongoing efforts to improve its utility and ease of use. Key themes identified during these processes include the importance of both initial and ongoing provider education as well as the limitations of a tool that must be actively initiated by providers.

Original languageEnglish (US)
Pages (from-to)571-578
Number of pages8
JournalClinical pediatrics
Volume56
Issue number6
DOIs
StatePublished - Jun 2017

Funding

This work was supported by the National Institute of Allergy and Infectious Diseases (grant number 5R21AI103433).

Keywords

  • allergy
  • best practice
  • clinical decision support system
  • food allergy
  • guidelines

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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