Real-time CDS tool increased accurate ASA PS classification

A two-center study evaluated an in-line clinical decision support (CDS) tool that flags potential under-classification of ASA Physical Status at the time of assignment, using documentation of 51 comorbid conditions. At the intervention site, the proportion of patients classified as ASA PS 3 or higher rose from 52.9% to 61.7% (aOR 1.42) compared to a small increase at the external control site (47.2% to 48.4%, aOR 1.05); among patients with conditions addressed in the later CDS phase, classification as ASA PS 3 or greater rose from 83.6% to 94.0% (aOR 3.54).

Most relevant for: Relevant to preoperative assessment and anesthesia documentation practices for patients with comorbidities affecting ASA Physical Status classification.

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