The influence of integrating clinical practice guideline order bundles into a general admission order set on guideline adoption
| Autor: | Justine Mrosak, Claire L. Stokes, Scott Gillespie, David Roth, Swaminathan Kandaswamy, Evan W. Orenstein, Ishaan Dave |
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| Rok vydání: | 2021 |
| Předmět: |
clinical decision support
AcademicSubjects/SCI01060 business.industry Computer science Health Informatics Usability Guideline Clinical decision support system usability testing Clinical Practice CpG site Summative assessment Order (business) Operations management AcademicSubjects/SCI01530 Brief Communications AcademicSubjects/MED00010 business clinical practice guidelines user-centered design User-centered design |
| Zdroj: | JAMIA Open |
| ISSN: | 2574-2531 |
| DOI: | 10.1093/jamiaopen/ooab087 |
| Popis: | Objectives of this study were to (1) describe barriers to using clinical practice guideline (CPG) admission order sets in a pediatric hospital and (2) determine if integrating CPG order bundles into a general admission order set increases adoption of CPG-recommended orders compared to standalone CPG order sets. We identified CPG-eligible encounters and surveyed admitting physicians to understand reasons for not using the associated CPG order set. We then integrated CPG order bundles into a general admission order set and evaluated effectiveness through summative usability testing in a simulated environment. The most common reasons for the nonuse of CPG order sets were lack of awareness or forgetting about the CPG order set. In usability testing, CPG order bundle use increased from 27.8% to 66.6% while antibiotic ordering errors decreased from 62.9% to 18.5% with the new design. Integrating CPG-related order bundles into a general admission order set improves CPG order set use in simulation by addressing the most common barriers to CPG adoption. |
| Databáze: | OpenAIRE |
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