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BMC Medical Informatics and Decision Making

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Open Access 01-12-2015 | Research article

Multiple perspectives on clinical decision support: a qualitative study of fifteen clinical and vendor organizations

Authors: Joan S Ash, Dean F Sittig, Carmit K McMullen, Adam Wright, Arwen Bunce, Vishnu Mohan, Deborah J Cohen, Blackford Middleton

Published in: BMC Medical Informatics and Decision Making | Issue 1/2015

Abstract

Background

Computerized clinical decision support (CDS) can help hospitals to improve healthcare. However, CDS can be problematic. The purpose of this study was to discover how the views of clinical stakeholders, CDS content vendors, and EHR vendors are alike or different with respect to challenges in the development, management, and use of CDS.

Methods

We conducted ethnographic fieldwork using a Rapid Assessment Process within ten clinical and five health information technology (HIT) vendor organizations. Using an inductive analytical approach, we generated themes from the clinical, content vendor, and electronic health record vendor perspectives and compared them.

Results

The groups share views on the importance of appropriate manpower, careful knowledge management, CDS that fits user workflow, the need for communication among the groups, and for mutual strategizing about the future of CDS. However, views of usability, training, metrics, interoperability, product use, and legal issues differed. Recommendations for improvement include increased collaboration to address legal, manpower, and CDS sharing issues.

Conclusions

The three groups share thinking about many aspects of CDS, but views differ in a number of important respects as well. Until these three groups can reach a mutual understanding of the views of the other stakeholders, and work together, CDS will not reach its potential.

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Title: Multiple perspectives on clinical decision support: a qualitative study of fifteen clinical and vendor organizations
Authors: Joan S Ash
Dean F Sittig
Carmit K McMullen
Adam Wright
Arwen Bunce
Vishnu Mohan
Deborah J Cohen
Blackford Middleton
Publication date: 01-12-2015
Publisher: BioMed Central
Published in: BMC Medical Informatics and Decision Making / Issue 1/2015
Electronic ISSN: 1472-6947
DOI: https://doi.org/10.1186/s12911-015-0156-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Multiple perspectives on clinical decision support: a qualitative study of fifteen clinical and vendor organizations

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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