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Although blood pressure measurement has become a routine part of pediatric primary care visits, hypertension is easy to miss, as it requires the provider to review blood pressure measurements from multiple visits and compare values to complex percentile-based tables.
Researchers developed and tested a clinical decision support (CDS) tool within the electronic health record that alerted providers to the presence of incident hypertension (blood pressure measurements ≥95th percentile at three separate visits) and provided them an order set and recommendations for potential next steps. Twenty primary care clinics were randomized to use the CDS tool or to provide usual care for a two-year period.
During the study, over 31,000 patients aged 10 to 1…