J Am Med Inform Assoc - Clinical decision support in small community practice settings: a case study.

Tópicos

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Resumo

Using an eight-dimensional model for studying socio-technical systems, a multidisciplinary team of investigators identified barriers and facilitators to clinical decision support (CDS) implementation in a community setting, the Mid-Valley Independent Physicians Association in the Salem, Oregon area. The team used the Rapid Assessment Process, which included nine formal interviews with CDS stakeholders, and observation of 27 clinicians. The research team, which has studied 21 healthcare sites of various sizes over the past 12 years, believes this site is an excellent example of an organization which is using a commercially available electronic-health-record system with CDS well. The eight-dimensional model proved useful as an organizing structure for the evaluation.

Resumo Limpo

use eightdimension model studi sociotechn system multidisciplinari team investig identifi barrier facilit clinic decis support cds implement communiti set midvalley independ physician associ salem oregon area team use rapid assess process includ nine formal interview cds stakehold observ clinician research team studi healthcar site various size past emspyear believ site excel exampl organ use commerci avail electronichealthrecord system cds well eightdimension model prove use organ structur evalu

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