Recommended practices for computerized clinical decision support and knowledge management in community settings: a qualitative study
| Autor: | Arwen Bunce, Carmit K. McMullen, Blackford Middleton, Michael D. Shapiro, Joan S. Ash, Richard H. Dykstra, Joshua E. Richardson, Adam Wright, James D. Carpenter, Kenneth P. Guappone, Dean F. Sittig |
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| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
Male
Decision support system Knowledge management Inservice Training Systems Analysis 020205 medical informatics Health Planning Guidelines Interprofessional Relations Health Informatics Hospitals Community 02 engineering and technology lcsh:Computer applications to medicine. Medical informatics Clinical decision support system Health informatics 03 medical and health sciences 0302 clinical medicine 0202 electrical engineering electronic engineering information engineering Medicine Humans 030212 general & internal medicine Institutional Management Teams Qualitative Research business.industry Health Policy Process Assessment Health Care Social Support Decision Support Systems Clinical Community hospital Research Personnel United States Computer Science Applications Workflow Knowledge Management Informatics Workforce Practice Guidelines as Topic lcsh:R858-859.7 Female Diffusion of Innovation business Qualitative research Research Article |
| Zdroj: | BMC Medical Informatics and Decision Making, Vol 12, Iss 1, p 6 (2012) BMC Medical Informatics and Decision Making |
| ISSN: | 1472-6947 |
| Popis: | Background The purpose of this study was to identify recommended practices for computerized clinical decision support (CDS) development and implementation and for knowledge management (KM) processes in ambulatory clinics and community hospitals using commercial or locally developed systems in the U.S. Methods Guided by the Multiple Perspectives Framework, the authors conducted ethnographic field studies at two community hospitals and five ambulatory clinic organizations across the U.S. Using a Rapid Assessment Process, a multidisciplinary research team: gathered preliminary assessment data; conducted on-site interviews, observations, and field surveys; analyzed data using both template and grounded methods; and developed universal themes. A panel of experts produced recommended practices. Results The team identified ten themes related to CDS and KM. These include: 1) workflow; 2) knowledge management; 3) data as a foundation for CDS; 4) user computer interaction; 5) measurement and metrics; 6) governance; 7) translation for collaboration; 8) the meaning of CDS; 9) roles of special, essential people; and 10) communication, training, and support. Experts developed recommendations about each theme. The original Multiple Perspectives framework was modified to make explicit a new theoretical construct, that of Translational Interaction. Conclusions These ten themes represent areas that need attention if a clinic or community hospital plans to implement and successfully utilize CDS. In addition, they have implications for workforce education, research, and national-level policy development. The Translational Interaction construct could guide future applied informatics research endeavors. |
| Databáze: | OpenAIRE |
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