AMIA Annu Symp Proc - Clinician perspectives on the quality of patient data used for clinical decision support: a qualitative study.

Tópicos

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Resumo

JECTIVE: Clinical decision support (CDS), defined broadly as patient-specific information and knowledge provided at the point of care, depends on a foundation of high quality electronic patient data. Little is known about how clinicians perceive the quality and value of data used to support CDS within an electronic health record (EHR) environment.METHODS: During a three-year research study, we collected ethnographic data from ten diverse organizations, including community hospitals, academic medical centers and ambulatory clinics.RESULTS: An in-depth analysis of the theme "data as a foundation for CDS" yielded a descriptive framework incorporating five subthemes related to data quality: completeness, accessibility, context specificity, accuracy, and reliability.CONCLUSION: We identified several multi-dimensional models that might be used to conceptualize data quality characteristics for future research. These results could provide new insights to system designers and implementers on the importance clinicians place on specific data quality characteristics regarding electronic patient data for CDS.

Resumo Limpo

jectiv clinic decis support cds defin broad patientspecif inform knowledg provid point care depend foundat high qualiti electron patient data littl known clinician perceiv qualiti valu data use support cds within electron health record ehr environmentmethod threeyear research studi collect ethnograph data ten divers organ includ communiti hospit academ medic center ambulatori clinicsresult indepth analysi theme data foundat cds yield descript framework incorpor five subthem relat data qualiti complet access context specif accuraci reliabilityconclus identifi sever multidimension model might use conceptu data qualiti characterist futur research result provid new insight system design implement import clinician place specif data qualiti characterist regard electron patient data cds

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