Artif Intell Med - Impact of four training conditions on physician use of a web-based clinical decision support system.

Tópicos

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Resumo

CKGROUND: Training has been identified as an important barrier to implementation of clinical decision support systems (CDSSs), but little is known about the effectiveness of different training approaches.METHODS: Using an observational retrospective cohort design, we examined the impact of four training conditions on physician use of a CDSS: (1) computer lab training with individualized follow-up (CL-FU) (n=40), (2) computer lab training without follow-up (CL) (n=177), (3) lecture demonstration (LD) (n=16), or (4) no training (NT) (n=134). Odds ratios of any use and ongoing use under training conditions were compared to no training over a 2-year follow-up period.RESULTS: CL-FU was associated with the highest percent of active users and odds for any use (90.0%, odds ratio (OR)=10.2, 95% confidence interval (CI): 3.2-32.9) and ongoing use (60.0%, OR=6.1 95% CI: 2.6-13.7), followed by CL (any use=81.4%, OR=5.3, CI: 2.9-9.6; ongoing use=28.8%, OR=1.7, 95% CI: 1.0-3.0). LD was not superior to no training (any use=47%, ongoing use=22.4%).CONCLUSION: Training format may have differential effects on initial and long-term follow-up of CDSSs use by physicians.

Resumo Limpo

ckground train identifi import barrier implement clinic decis support system cdsss littl known effect differ train approachesmethod use observ retrospect cohort design examin impact four train condit physician use cdss comput lab train individu followup clfu n comput lab train without followup cl n lectur demonstr ld n train nt n odd ratio use ongo use train condit compar train year followup periodresult clfu associ highest percent activ user odd use odd ratio confid interv ci ongo use ci follow cl use ci ongo use ci ld superior train use ongo useconclus train format may differenti effect initi longterm followup cdsss use physician

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