TY - JOUR
T1 - A qualitative study of the activities performed by people involved in clinical decision support
T2 - Recommended practices for success
AU - Wright, Adam
AU - Ash, Joan S.
AU - Erickson, Jessica L.
AU - Wasserman, Joe
AU - Bunce, Arwen
AU - Stanescu, Ana
AU - St Hilaire, Daniel
AU - Panzenhagen, Morgan
AU - Gebhardt, Eric
AU - McMullen, Carmit
AU - Middleton, Blackford
AU - Sittig, Dean F.
PY - 2014
Y1 - 2014
N2 - Objective: To describe the activities performed by people involved in clinical decision support (CDS) at leading sites. 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's Multiple Perspectives Model. 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'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. 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. 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.
AB - Objective: To describe the activities performed by people involved in clinical decision support (CDS) at leading sites. 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's Multiple Perspectives Model. 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'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. 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. 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.
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U2 - 10.1136/amiajnl-2013-001771
DO - 10.1136/amiajnl-2013-001771
M3 - Article
C2 - 23999670
AN - SCOPUS:84901849519
SN - 1067-5027
VL - 21
SP - 464
EP - 472
JO - Journal of the American Medical Informatics Association
JF - Journal of the American Medical Informatics Association
IS - 3
ER -