We will compare differences in sexually transmitted infection (STI) detection rates between sexual health survey (SHS)-derived electronic clinical decision support (CDS) versus usual care (e.g. no provision of CDS) using an interrupted time series design. We hypothesize that population-based STI detection rates will be higher when SHS-derived electronic CDS is provided compared to usual care. Secondary analysis will include a comparison of STI detection rates by sexual risk strata (high risk vs. at risk) and race/ethnicity.
Adolescents aged 15-21 years seeking care in the emergency department
Patients will be excluded if unable to understand English, are critically ill, cognitively impaired, or otherwise unable to provide consent for completion of the sexual health survey (SHS) and STI screening.
Sequential
SHS-derived CDS
BehavioralThis intervention will provide electronic clinical decision support for adolescents who screen at risk or at high risk of an STI.
Chlamydia trachomatis (CT) / Neisseria gonorrhoeae (GC) detection rates
Proportion of encounters during which patients test positive for CT/GC; measured by urine-based nucleic acid amplification tests.
STI rates by race/ethnicity
Change in STI rates by race/ethnicity
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