Effect of In-line Clinical Decision Support to Improve Accuracy of American Society of Anesthesiologists Physical Status Documentation: A Two Center Evaluation of a Quality Intervention
Authors' conclusion
Implementation of our in-line real-time CDS was associated with a significant increase in the percentage of patients with ASA PS 3 or greater.
Study context
- Population
- Anesthetics at two large academic medical centersanesthetics
- Participants
- 251,944 vs 286,172
- Comparison
- Site 1 vs Site 2
- Site 1n = 251,944
- Site 2n = 286,172reference
- Outcome
- Percentage of patients assigned ASA PS 3 or greater, before (May 22, 2023 to May 22, 2024) vs after complete implementation (August 14, 2024 to August 14, 2025)
Methodological detailsbefore-after, contemporaneous external control, two-centre, 51 conditions warranting ASA PS of at least 3 embedded in Clinical Decision Support (CDS)
- Before-after
- Contemporaneous external control
- Two-centre
- 51 conditions warranting ASA PS of at least 3 embedded in CDS
Main finding
As reported in the abstract
ASA PS 3 or higher, before vs after
Site 1
52.9% to 61.7%
Site 2
47.2% to 48.4%
Adjusted odds ratio (95% CI)
Site 1 vs Site 2
1.42(1.38–1.45)
Site 2
1.05(1.03–1.07)
Further findings
| Outcome | Site 1 | aOR (95% CI) | |
|---|---|---|---|
| ASA PS 3 or greater, Site 1 patients with 50 conditions addressed by latter CDS phase (subgroup)After vs before | 83.6% to 94.0% | 3.54 (3.34–3.76) | |
| 0.20.5125Adjusted odds ratio (log scale) |
Original publication
Effect of In-line Clinical Decision Support to Improve Accuracy of American Society of Anesthesiologists Physical Status Documentation: A Two Center Evaluation of a Quality Intervention. Anesthesiology. Published 22 September 2026. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →