| Autor: |
Rachel Hess, Rebecca G Mishuris, Joseph Palmisano, Lauren McCullagh, David A Feldstein, Paul D Smith, Thomas McGinn, Devin M Mann |
| Jazyk: |
angličtina |
| Rok vydání: |
2019 |
| Předmět: |
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| Zdroj: |
BMJ Health & Care Informatics, Vol 26, Iss 1 (2019) |
| Druh dokumentu: |
article |
| ISSN: |
2632-1009 |
| DOI: |
10.1136/bmjhci-2019-100088 |
| Popis: |
Background Effective implementation of technologies into clinical workflow is hampered by lack of integration into daily activities. Normalisation process theory (NPT) can be used to describe the kinds of ‘work’ necessary to implement and embed complex new practices. We determined the suitability of NPT to assess the facilitators, barriers and ‘work’ of implementation of two clinical decision support (CDS) tools across diverse care settings.Methods We conducted baseline and 6-month follow-up quantitative surveys of clinic leadership at two academic institutions’ primary care clinics randomised to the intervention arm of a larger study. The survey was adapted from the NPT toolkit, analysing four implementation domains: sense-making, participation, action, monitoring. Domains were summarised among completed responses (n=60) and examined by role, institution, and time.Results The median score for each NPT domain was the same across roles and institutions at baseline, and decreased at 6 months. At 6 months, clinic managers’ participation domain (p=0.003), and all domains for medical directors (p |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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