LAUSR

OBJECTIVE Clinical decision support tools (CDSTs) are common in neonatology, but utilization is rarely examined. We examined the utilization of four CDSTs in newborn care.   Study Design: A 72-field needs assessment was developed. It was distributed to listservs encompassing trainees, nurse practitioners, hospitalists, and attendings. At the conclusion of data collection, responses were downloaded and analyzed.        Results: We received 339 fully completed questionnaires. BiliTool and the EOS tool were used by > 90% of respondents, the BPD tool by 39%, and the EPB tool by 72%. Common reasons CDSTs did not impact clinical care included lack of electronic health record (EHR) integration, lack of confidence in prediction accuracy, and unhelpful predictions.   Conclusion: From a national sample of neonatal care providers, there is frequent but variable use of four CDSTs. Understanding the factors that contribute to tool utility is vital prior to development and implementation.