Only 3 percent of patients and providers participate in clinical trials, according to a National Institutes of Health-backed study. Additionally, clinical trials often lack diversity, leading to treatments that may not be effective for all patients, according to a 2021 study published in JAMA Network Open.
Children’s Mercy Hospital in Kansas City, Mo., is an example of a system that used EHR data to extract insights. It conducted a study using diverse, nationwide EHR data to examine trends in emergency department opioid prescriptions for children with migraines, finding that white, female children were most likely to be prescribed opioids during an emergency department visit.
The findings led Children’s Mercy to change its EHR-based treatment guidelines and algorithms, which helped the hospital dramatically reduce its instances of prescribing opioids to children with migraines, said Jennifer Bickel, MD, a neurologist and clinical educator at the hospital.