The Development of a Clinical Decision Support System for the Management of Pediatric Food Allergy

Clin Pediatr (Phila). 2017 Jun;56(6):571-578. doi: 10.1177/0009922816669097. Epub 2016 Oct 26.


Pediatricians are often first-line providers for children with food allergy. Food allergy management guidelines have been developed but are cumbersome and confusing, and significant variation exists in pediatricians' management practices. We therefore consolidated the guidelines into 5 key steps for pediatricians caring for patients with food allergy and used rapid-cycle improvement methods to create a clinical decision support system to facilitate the management of food allergy in the primary care setting. This report details the development of the Food Allergy Support Tool (FAST), its pilot testing in 4 primary care pediatric practices, and our ongoing efforts to improve its utility and ease of use. Key themes identified during these processes include the importance of both initial and ongoing provider education as well as the limitations of a tool that must be actively initiated by providers.

Keywords: allergy; best practice; clinical decision support system; food allergy; guidelines.

MeSH terms

  • Child
  • Child Welfare
  • Decision Support Systems, Clinical / standards*
  • Evidence-Based Medicine
  • Female
  • Food Hypersensitivity / diagnosis*
  • Food Hypersensitivity / prevention & control*
  • Humans
  • Male
  • National Institute of Allergy and Infectious Diseases (U.S.)
  • Pediatrics / organization & administration
  • Practice Guidelines as Topic
  • Practice Patterns, Physicians' / standards*
  • United States