Abstract
To improve performance of the cosyntropin stimulation test (CST) used for diagnosis of adrenal-cortisol insufficiency by implementing an electronic medical record (EMR) system protocol. We implemented a SmartForm protocol of the validated CST in our EMR system (CS-Link™, EPIC) system and compared medical staff test performance before and after protocol implementation. Correct performance of the CST improved significantly after EMR implementation. The number of correctly performed CSTs increased from 16.1% before to 53.5% after implementation (p<0.0001) while those performed incorrectly and were uninterpretable decreased from 36.2 to 7.1% (p<0.0001). This performance improvement result in a calculated cost savings of $50,414 for every 100 tests performed. The EMR system is useful for guiding medical staff to accurately perform the CST, reduce the number of wasted tests, and maximize staff time and resources.
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