Recommended practices for computerized clinical decision support and knowledge management in community settings: a qualitative study.

BMC Medical Informatics and Decision Making
Joan S AshBlackford Middleton

Abstract

The purpose of this study was to identify recommended practices for computerized clinical decision support (CDS) development and implementation and for knowledge management (KM) processes in ambulatory clinics and community hospitals using commercial or locally developed systems in the U.S. Guided by the Multiple Perspectives Framework, the authors conducted ethnographic field studies at two community hospitals and five ambulatory clinic organizations across the U.S. Using a Rapid Assessment Process, a multidisciplinary research team: gathered preliminary assessment data; conducted on-site interviews, observations, and field surveys; analyzed data using both template and grounded methods; and developed universal themes. A panel of experts produced recommended practices. The team identified ten themes related to CDS and KM. These include: 1) workflow; 2) knowledge management; 3) data as a foundation for CDS; 4) user computer interaction; 5) measurement and metrics; 6) governance; 7) translation for collaboration; 8) the meaning of CDS; 9) roles of special, essential people; and 10) communication, training, and support. Experts developed recommendations about each theme. The original Multiple Perspectives framework was modified t...Continue Reading

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Citations

Apr 3, 2013·Artificial Intelligence in Medicine·Edith KealeyMolly T Finnerty
Aug 28, 2013·Journal of the American Medical Informatics Association : JAMIA·Gillian C BellJames M Hoffman
Sep 4, 2013·Journal of the American Medical Informatics Association : JAMIA·Adam WrightDean F Sittig
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Methods Mentioned

BETA
RAP

Software Mentioned

NextGen
CDS
Eclipsys

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