To assess the impact of the implementation of an electronic medical record (EMR)–based sexually transmitted infection (STI) order set on human immunodeficiency virus (HIV) testing rates and the acceptability of status-neutral HIV Care in the emergency department (ED).
Methods
We developed and implemented an STI order set integrated into the EMR to streamline HIV testing and status-neutral care. The cohort included ED encounters from April 2022 to December 2023 in which patients were tested for chlamydia or gonorrhea. We measured the adoption and acceptability of the order set among clinicians through surveys and analyzed the impact on rates of HIV testing and referral to Infectious Diseases using regression models.
Results
Of 3922 ED encounters, 1161 (29.6%) included an HIV test. The introduction of the STI order set in February 2023 correlated with increased testing rates for all STIs, including a significant rise in HIV testing (P