| The state of the art in clinical knowledge management: an inventory of tools and techniques. | |
| | |
MedLine Citation:
|
PMID: 19828364 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
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. |
| | |
Authors:
|
Dean F Sittig; Adam Wright; Linas Simonaitis; James D Carpenter; George O Allen; Bradley N Doebbeling; Anwar Mohammad Sirajuddin; Joan S Ash; Blackford Middleton |
Related Documents
:
|
10621794 - What will we do without to get what we really want? 22008314 - Effects of extensive practice on bradykinesia in parkinson's disease: improvement, rete... 21866504 - A framework for evaluating evidence in evidence-based design. 9516284 - Clinical informatics and the dental curriculum. a review of the impact of informatics i... 15568334 - Farmers' perceptions, knowledge, and management of coffee pests and diseases and their ... 9779094 - Dental practice and the environment. |
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: 2011-07-18 |
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. |
Affiliation:
|
UT-Memorial Hermann Center for Healthcare Quality and Safety, University of Texas School of Health Information Science, 6410 Fannin Street, Houston, TX 77030, USA. dean.f.sittig@uth.tmc.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Decision Support Systems, Clinical
/
organization & administration* Health Care Surveys Hospital Information Systems Humans Information Storage and Retrieval / methods* Interdisciplinary Communication* Internet Medical Records Systems, Computerized Patient Care Team Software Terminology as Topic United States User-Computer Interface Vocabulary, Controlled |
| Grant Support | |
ID/Acronym/Agency:
|
R01 LM006942-07A2/LM/NLM NIH HHS; R56-LM006942/LM/NLM NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Synthesis, structural characterization, thermal and electrochemical studies of mixed ligand Cu(II) c...
Next Document: Norwegians GPs' use of electronic patient record systems.