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Development of a Diabetes Mellitus Knowledge Resource for Clinical Decision Support Assisting Primary Care Physicians With Work-Related Issues

Allen, Anna MD, MPH; Welch, Laura MD; Kirkland, Katherine DrPH, MPH; Trout, Douglas MD, MHS; Baron, Sherry MD, MPH

Journal of Occupational and Environmental Medicine: November 2017 - Volume 59 - Issue 11 - p e236–e239
doi: 10.1097/JOM.0000000000001181
Computer-Mediated Clinical Decision Support in Primary Care Fast Track Articles

Objective: The aim of this study was to describe the process by which a group of subject matter experts (SMEs) in the area of occupational health and primary care developed a clinical decision support (CDS) tool addressing work-related issues, which are important in the care of patients with diabetes mellitus (DM). The CDS is intended for primary care clinicians caring for employed adults with DM.

Methods: The SME's selected guidelines for the management of DM in working adults, reviewed pertinent literature, and developed specific recommendations for action in the clinical setting.

Results: Multiple factors at work may adversely affect DM management. Clinicians can support working patients through education and care strategies to improve control.

Conclusion: Improved recognition of factors at work that can have an impact on DM care provides opportunities for improved management of DM among working adults.

West Virginia University, School of Public Health, Occupational Medicine Department, Morgantown, West Virginia (Dr Allen); Center for Construction Research and Training, Silver Spring, Maryland (Dr Welch); Association of Occupational and Environmental Health Clinics, Washington, DC (Dr Kirkland); National Institute for Occupational Safety and Health (NIOSH), DSHEFS, Centers for Disease Control and Prevention, Cincinnati, Ohio (Dr Trout); and Queens College, City University of New York, Queens, New York (Dr Baron).

Address correspondence to: Anna Allen, MD, MPH, West Virginia University Occupational Medicine, 3860 Health Sciences Center, Box 9145, Morgantown, WV 26506 (

Funding to support this work was provided through contract 212-2014-M-59011 as part of project #927ZLDN, and included Intergovernmental Personnel Act (IPA) agreements with Dr Baron to support her participation.

The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention.

The authors have no conflicts of interest.

Copyright © 2017 by the American College of Occupational and Environmental Medicine