| Examining the relationship between clinical decision support and performance measurement. | |
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MedLine Citation:
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PMID: 20351854 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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In concept and practice, clinical decision support (CDS) and performance measurement represent distinct approaches to organizational change, yet these two organizational processes are interrelated. We set out to better understand how the relationship between the two is perceived, as well as how they jointly influence clinical practice. To understand the use of CDS at benchmark institutions, we conducted semistructured interviews with key managers, information technology personnel, and clinical leaders during a qualitative field study. Improved performance was frequently cited as a rationale for the use of clinical reminders. Pay-for-performance efforts also appeared to provide motivation for the use of clinical reminders. Shared performance measures were associated with shared clinical reminders. The close link between clinical reminders and performance measurement causes these tools to have many of the same implementation challenges. |
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Authors:
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David A Haggstrom; Jason J Saleem; Laura G Militello; Nicole Arbuckle; Mindy Flanagan; Bradley N Doebbeling |
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Publication Detail:
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Type: Journal Article Date: 2009-11-14 |
Journal Detail:
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Title: AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium Volume: 2009 ISSN: 1942-597X ISO Abbreviation: AMIA Annu Symp Proc Publication Date: 2009 |
Date Detail:
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Created Date: 2010-03-30 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101209213 Medline TA: AMIA Annu Symp Proc Country: United States |
Other Details:
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Languages: eng Pagination: 223-7 Citation Subset: IM |
Affiliation:
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VA HSR&D Center on Implementing Evidence-Based Practice, Roudebush VAMC, Indianapolis, IN, USA. |
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