A Staff-Directed Electronic Medical Record Alert to Increase Chlamydia Screening: A Randomized Clinical Trial - Report - MDSpire

A Staff-Directed Electronic Medical Record Alert to Increase Chlamydia Screening: A Randomized Clinical Trial

  • By

  • Harold C. Wiesenfeld

  • Jaeyoung Hong

  • Tong Xu

  • Kendra M. Cuffe

  • Kyle T. Bernstein

  • Thomas L. Gift

  • Gary S. Fischer

  • May 29, 2026

  • 0 min

Share

Clinical Report: EMR Notification to Enhance Chlamydia Screening Effectiveness

Overview

This study evaluated the impact of an electronic medical record (EMR) alert on increasing chlamydia screening among women aged 18 to 24. Results indicated that the intervention significantly improved screening rates compared to usual care.

Background

Chlamydia and gonorrhea infections are prevalent in the U.S., with significant health implications, particularly for women. Despite recommendations for routine screening in sexually active women under 25, screening rates remain low due to various barriers. Innovative strategies, such as EMR alerts, may enhance screening efforts and address these gaps.

Data Highlights

No numerical data provided in the source material.

Key Findings

  • The study was a cluster randomized trial conducted in Western Pennsylvania.
  • Medical assistants received real-time alerts for eligible patients, significantly increasing screening rates.
  • Practices were stratified by urbanicity and racial demographics for randomization.
  • Control groups did not receive alerts, highlighting the intervention's effectiveness.
  • The study adhered to CONSORT guidelines and received institutional review board approval.

Clinical Implications

Expand on the barriers to screening and how EMR alerts can mitigate these issues.

Conclusion

Strengthen the conclusion by linking it back to the public health implications discussed in the background.

Related Resources & Content

  1. University of Pittsburgh Medical Center, Journal of Infectious Diseases, 2023 -- An Electronic Medical Record Notification Led by Staff to Enhance Chlamydia Screening: Results from a Randomized Clinical Trial
  2. Open Forum Infectious Diseases — Impact of Automated Electronic Medical Records on Screening and Management of Latent Tuberculosis in a Major Healthcare System
  3. Infection — Extended Evaluation of a Systematic STI Screening Initiative for HIV-Positive Men Who Have Sex with Men in Primary Care: Participation Rates, STI Rates, and Infection Risk Factors
  4. Open Forum Infectious Diseases — Real-world Use of Molecular Point-of-care Testing for Sexually Transmitted Infections (STIs) in the Emergency Department: Why It Matters for Acute Care Management
  5. STI Screening Recommendations
  6. Sexually Transmitted Infections Surveillance, 2024 (Provisional) | STI Statistics | CDC
  7. FDA Clears First At-Home Test for Chlamydia, Gonorrhea, and Trichomoniasis
  8. Electronic Health Record–Based Screening for Intimate Partner Violence

Original Source(s)

Related Content