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Although routine HIV screening is recommended by the CDC for persons aged 13 to 64, many people have not been tested even in high-risk areas of the U.S. To assess whether adding a prompt recommending HIV testing to the electronic medical record (EMR) affected testing rates and results, investigators performed a pre-postimplementation study at three hospitals in the Bronx, New York, from September 1, 2013, to March 31, 2015. The rate of HIV testing and new diagnosis for admissions of patients 21 to 64 years old was determined before and after adding a screening prompt (for those with no prior HIV test or a high-risk diagnosis after their last HIV test).
For the study period before activation of the prompt system, 9.5% of 36,610 admissions had…