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

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

Research output: Contribution to journalArticle

24 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)464-472
Number of pages9
JournalJournal of the American Medical Informatics Association
Volume21
Issue number3
DOIs
StatePublished - 2014

ASJC Scopus subject areas

  • Health Informatics

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