Identifying best practices for clinical decision support and knowledge management in the field

Joan S. Ash; Dean F. Sittig; Richard Dykstra; Adam Wright; Carmit McMullen; Joshua Richardson; Blackford Middleton

doi:10.3233/978-1-60750-588-4-806

Identifying best practices for clinical decision support and knowledge management in the field

Joan S. Ash, Dean F. Sittig, Richard Dykstra, Adam Wright, Carmit McMullen, Joshua Richardson, Blackford Middleton

Medical Informatics and Clinical Epidemiology

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution

33 Scopus citations

Abstract

To investigate best practices for implementing and managing clinical decision support (CDS) in community hospitals and ambulatory settings, we carried out a series of ethnographic studies to gather information from nine diverse organizations. Using the Rapid Assessment Process methodology, we conducted surveys, interviews, and observations over a period of two years in eight different geographic regions of the U.S.A. We first utilized a template organizing method for an expedited analysis of the data, followed by a deeper and more time consuming interpretive approach. We identified five major categories of best practices that require careful consideration while carrying out the planning, implementation, and knowledge management processes related to CDS. As more health care organizations implement clinical systems such as computerized provider order entry with CDS, descriptions of lessons learned by CDS pioneers can provide valuable guidance so that CDS can have optimal impact on health care quality.

Original language	English (US)
Title of host publication	Medinfo 2010 - Proceedings of the 13th World Congress on Medical Informatics
Publisher	IOS Press
Pages	806-810
Number of pages	5
Edition	PART 1
ISBN (Print)	9781607505877
DOIs	https://doi.org/10.3233/978-1-60750-588-4-806
State	Published - 2010
Event	13th World Congress on Medical and Health Informatics, Medinfo 2010 - Cape Town, South Africa Duration: Sep 12 2010 → Sep 15 2010

Publication series

Name	Studies in Health Technology and Informatics
Number	PART 1
Volume	160
ISSN (Print)	0926-9630
ISSN (Electronic)	1879-8365

Other

Other	13th World Congress on Medical and Health Informatics, Medinfo 2010
Country/Territory	South Africa
City	Cape Town
Period	9/12/10 → 9/15/10

Keywords

Clinical
Decision support systems
Information management
Medical order entry systems

ASJC Scopus subject areas

Biomedical Engineering
Health Informatics
Health Information Management

Access to Document

10.3233/978-1-60750-588-4-806

Cite this

Ash, J. S., Sittig, D. F., Dykstra, R., Wright, A., McMullen, C., Richardson, J., & Middleton, B. (2010). Identifying best practices for clinical decision support and knowledge management in the field. In Medinfo 2010 - Proceedings of the 13th World Congress on Medical Informatics (PART 1 ed., pp. 806-810). (Studies in Health Technology and Informatics; Vol. 160, No. PART 1). IOS Press. https://doi.org/10.3233/978-1-60750-588-4-806

Identifying best practices for clinical decision support and knowledge management in the field. / Ash, Joan S.; Sittig, Dean F.; Dykstra, Richard et al.
Medinfo 2010 - Proceedings of the 13th World Congress on Medical Informatics. PART 1. ed. IOS Press, 2010. p. 806-810 (Studies in Health Technology and Informatics; Vol. 160, No. PART 1).

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution

Ash, JS, Sittig, DF, Dykstra, R, Wright, A, McMullen, C, Richardson, J & Middleton, B 2010, Identifying best practices for clinical decision support and knowledge management in the field. in Medinfo 2010 - Proceedings of the 13th World Congress on Medical Informatics. PART 1 edn, Studies in Health Technology and Informatics, no. PART 1, vol. 160, IOS Press, pp. 806-810, 13th World Congress on Medical and Health Informatics, Medinfo 2010, Cape Town, South Africa, 9/12/10. https://doi.org/10.3233/978-1-60750-588-4-806

Ash JS, Sittig DF, Dykstra R, Wright A, McMullen C, Richardson J et al. Identifying best practices for clinical decision support and knowledge management in the field. In Medinfo 2010 - Proceedings of the 13th World Congress on Medical Informatics. PART 1 ed. IOS Press. 2010. p. 806-810. (Studies in Health Technology and Informatics; PART 1). doi: 10.3233/978-1-60750-588-4-806

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Identifying best practices for clinical decision support and knowledge management in the field

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Keywords

ASJC Scopus subject areas

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