| Governance for clinical decision support: case studies and recommended practices from leading institutions. | |
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MedLine Citation:
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PMID: 21252052 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Clinical decision support (CDS) is a powerful tool for improving healthcare quality and ensuring patient safety; however, effective implementation of CDS requires effective clinical and technical governance structures. The authors sought to determine the range and variety of these governance structures and identify a set of recommended practices through observational study. DESIGN: Three site visits were conducted at institutions across the USA to learn about CDS capabilities and processes from clinical, technical, and organizational perspectives. Based on the results of these visits, written questionnaires were sent to the three institutions visited and two additional sites. Together, these five organizations encompass a variety of academic and community hospitals as well as small and large ambulatory practices. These organizations use both commercially available and internally developed clinical information systems. MEASUREMENTS: Characteristics of clinical information systems and CDS systems used at each site as well as governance structures and content management approaches were identified through extensive field interviews and follow-up surveys. RESULTS: Six recommended practices were identified in the area of governance, and four were identified in the area of content management. Key similarities and differences between the organizations studied were also highlighted. CONCLUSION: Each of the five sites studied contributed to the recommended practices presented in this paper for CDS governance. Since these strategies appear to be useful at a diverse range of institutions, they should be considered by any future implementers of decision support. |
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Authors:
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Adam Wright; Dean F Sittig; Joan S Ash; David W Bates; Joshua Feblowitz; Greg Fraser; Saverio M Maviglia; Carmit McMullen; W Paul Nichol; Justine E Pang; Jack Starmer; Blackford Middleton |
Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, Non-P.H.S. Date: 2011-01-20 |
Journal Detail:
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Title: Journal of the American Medical Informatics Association : JAMIA Volume: 18 ISSN: 1527-974X ISO Abbreviation: J Am Med Inform Assoc Publication Date: 2011 Mar-Apr |
Date Detail:
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Created Date: 2011-03-09 Completed Date: 2011-07-19 Revised Date: 2012-03-08 |
Medline Journal Info:
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Nlm Unique ID: 9430800 Medline TA: J Am Med Inform Assoc Country: United States |
Other Details:
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Languages: eng Pagination: 187-94 Citation Subset: IM |
Affiliation:
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Brigham and Women's Hospital, Boston, Massachusetts, USA. awright5@partners.org |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Decision Support Systems, Clinical
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organization & administration* Health Plan Implementation Humans Organizational Case Studies Quality Assurance, Health Care / organization & administration* United States |
| Grant Support | |
ID/Acronym/Agency:
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563 R56-LM006942/LM/NLM NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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