Document Detail

The state of the art in clinical knowledge management: an inventory of tools and techniques.
MedLine Citation:
PMID:  19828364     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To explore the need for, and use of, high-quality, collaborative, clinical knowledge management (CKM) tools and techniques to manage clinical decision support (CDS) content.
METHODS: In order to better understand the current state of the art in CKM, we developed a survey of potential CKM tools and techniques. We conducted an exploratory study by querying a convenience sample of respondents about their use of specific practices in CKM.
RESULTS: The following tools and techniques should be priorities in organizations interested in developing successful computer-based provider order entry (CPOE) and CDS implementations: (1) a multidisciplinary team responsible for creating and maintaining the clinical content; (2) an external organizational repository of clinical content with web-based viewer that allows anyone in the organization to review it; (3) an online, collaborative, interactive, Internet-based tool to facilitate content development; (4) an enterprise-wide tool to maintain the controlled clinical terminology concepts. Even organizations that have been successfully using computer-based provider order entry with advanced clinical decision support features for well over 15 years are not using all of the CKM tools or practices that we identified.
CONCLUSIONS: If we are to further stimulate progress in the area of clinical decision support, we must continue to develop and refine our understanding and use of advanced CKM capabilities.
Dean F Sittig; Adam Wright; Linas Simonaitis; James D Carpenter; George O Allen; Bradley N Doebbeling; Anwar Mohammad Sirajuddin; Joan S Ash; Blackford Middleton
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2009-10-14
Journal Detail:
Title:  International journal of medical informatics     Volume:  79     ISSN:  1872-8243     ISO Abbreviation:  Int J Med Inform     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-02-04     Completed Date:  2010-04-20     Revised Date:  2014-09-19    
Medline Journal Info:
Nlm Unique ID:  9711057     Medline TA:  Int J Med Inform     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  44-57     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2009. Published by Elsevier Ireland Ltd.
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MeSH Terms
Decision Support Systems, Clinical / organization & administration*
Health Care Surveys
Hospital Information Systems
Information Storage and Retrieval / methods*
Interdisciplinary Communication*
Medical Records Systems, Computerized
Patient Care Team
Terminology as Topic
United States
User-Computer Interface
Vocabulary, Controlled
Grant Support
R01 LM006942/LM/NLM NIH HHS; R01 LM006942-07A2/LM/NLM NIH HHS; R56-LM006942/LM/NLM NIH HHS

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