Electronic Health Record Clinical Decision Support Tool Improves Ambulatory Reflux Testing Practices

The American Journal of Gastroenterology 2026

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Authors: Alexander T. Reddy, Annie L. Wang, Sitharthan Sekar, Ying Claire Dorsey, David A. Leiman
DOI: 10.14309/ajg.0000000000003957
Cited by: 1
References: 15

Abstract

INTRODUCTION: Performing reflux testing on acid suppression without a confirmed diagnosis of gastroesophageal reflux disease conflicts with best practice recommendations and reduces diagnostic utility. We assessed whether clinical decision support (CDS) improves ordering practices. METHODS: Quality improvement methods were used to develop and test the effectiveness of a novel CDS tool. RESULTS: The testing rate on acid suppression decreased (30.9% vs 8.4%; P < 0.01), best practice concordance increased (16.4% vs 60.0%; P < 0.001), and more clinical management changes occurred (23.1% vs 60.0%; P = 0.01) after CDS deployment. DISCUSSION: Use of CDS for reflux testing improves ordering practices and meaningful changes clinical management.

Fields of Study & Subjects

Gastroesophageal reflux and treatments Gastrointestinal Bleeding Diagnosis and Treatment Colorectal Cancer Screening and Detection

Publication details

Journal / source
The American Journal of Gastroenterology
Publisher
Ovid Technologies (Wolters Kluwer Health)
Volume
121
Issue
6
Pages
1509–1514
Publication date
12 February 2026
Language
EN