A qualitative study of the activities performed by people involved in clinical decision support: recommended practices for success

作者：Wright Adam^*; Ash Joan S; Erickson Jessica L; Wasserman Joe; Bunce Arwen; Stanescu Ana; St Hilaire Daniel; Panzenhagen Morgan; Gebhardt Eric; McMullen Carmit; Middleton Blackford; Sittig Dean F

来源：Journal of the American Medical Informatics Association, 2014, 21(3): 464-472.

DOI：10.1136/amiajnl-2013-001771

Objective To describe the activities performed by people involved in clinical decision support (CDS) at leading sites. %26lt;br%26gt;Materials and methods We conducted ethnographic observations at seven diverse sites with a history of excellence in CDS using the Rapid Assessment Process and analyzed the data using a series of card sorts, informed by Linstone%26apos;s Multiple Perspectives Model. %26lt;br%26gt;Results We identified 18 activities and grouped them into four areas. Area 1: Fostering relationships across the organization, with activities (a) training and support, (b) visibility/presence on the floor, (c) liaising between people, (d) administration and leadership, (e) project management, (f) cheerleading/buy-in/sponsorship, (g) preparing for CDS implementation. Area 2: Assembling the system with activities (a) providing technical support, (b) CDS content development, (c) purchasing products from vendors (d) knowledge management, (e) system integration. Area 3: Using CDS to achieve the organization%26apos;s goals with activities (a) reporting, (b) requirements-gathering/specifications, (c) monitoring CDS, (d) linking CDS to goals, (e) managing data. Area 4: Participation in external policy and standards activities (this area consists of only a single activity). We also identified a set of recommendations associated with these 18 activities. %26lt;br%26gt;Discussion All 18 activities we identified were performed at all sites, although the way they were organized into roles differed substantially. We consider these activities critical to the success of a CDS program. %26lt;br%26gt;Conclusions A series of activities are performed by sites strong in CDS, and sites adopting CDS should ensure they incorporate these activities into their efforts.

• 出版日期2014-5