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Emergency Department Clinician Perspectives on the Data Availability to Implement Clinical Decision Support Tools for Five Clinical Practice Guidelines

Clinical practice guidelines (CPGs) often serve as the knowledge base for clinical decision support (CDS). While CPGs are rigorously created by medical professional societies, the concepts in each guideline may not be sufficient for translation into CDS applications. In addition, clinicians’ percept...

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Detalles Bibliográficos
Autores principales: Douthit, Brian J., Richesson, Rachel L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Medical Informatics Association 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5961800/
https://www.ncbi.nlm.nih.gov/pubmed/29888092
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author Douthit, Brian J.
Richesson, Rachel L.
author_facet Douthit, Brian J.
Richesson, Rachel L.
author_sort Douthit, Brian J.
collection PubMed
description Clinical practice guidelines (CPGs) often serve as the knowledge base for clinical decision support (CDS). While CPGs are rigorously created by medical professional societies, the concepts in each guideline may not be sufficient for translation into CDS applications. In addition, clinicians’ perceptions of these concepts may differ greatly, affecting the implementation and impact of CDS within an organization. Five guidelines developed by the American College of Emergency Physicians were systematically explored, generating fifty-one unique clinical concepts. These concepts were presented to two nurses and two physicians, whom were asked to assess and comment on the capture of each clinical concept in the electronic health record (EHR) and the subsequent availability of the data for CDS. Nurses and physicians showed differing perceptions of data availability. These differing perceptions may influence an organizational approach to developing and implementing CDS, potentially informing our understanding of why CDS may not achieve the intended impact.
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spelling pubmed-59618002018-06-08 Emergency Department Clinician Perspectives on the Data Availability to Implement Clinical Decision Support Tools for Five Clinical Practice Guidelines Douthit, Brian J. Richesson, Rachel L. AMIA Jt Summits Transl Sci Proc Articles Clinical practice guidelines (CPGs) often serve as the knowledge base for clinical decision support (CDS). While CPGs are rigorously created by medical professional societies, the concepts in each guideline may not be sufficient for translation into CDS applications. In addition, clinicians’ perceptions of these concepts may differ greatly, affecting the implementation and impact of CDS within an organization. Five guidelines developed by the American College of Emergency Physicians were systematically explored, generating fifty-one unique clinical concepts. These concepts were presented to two nurses and two physicians, whom were asked to assess and comment on the capture of each clinical concept in the electronic health record (EHR) and the subsequent availability of the data for CDS. Nurses and physicians showed differing perceptions of data availability. These differing perceptions may influence an organizational approach to developing and implementing CDS, potentially informing our understanding of why CDS may not achieve the intended impact. American Medical Informatics Association 2018-05-18 /pmc/articles/PMC5961800/ /pubmed/29888092 Text en ©2018 AMIA - All rights reserved. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose
spellingShingle Articles
Douthit, Brian J.
Richesson, Rachel L.
Emergency Department Clinician Perspectives on the Data Availability to Implement Clinical Decision Support Tools for Five Clinical Practice Guidelines
title Emergency Department Clinician Perspectives on the Data Availability to Implement Clinical Decision Support Tools for Five Clinical Practice Guidelines
title_full Emergency Department Clinician Perspectives on the Data Availability to Implement Clinical Decision Support Tools for Five Clinical Practice Guidelines
title_fullStr Emergency Department Clinician Perspectives on the Data Availability to Implement Clinical Decision Support Tools for Five Clinical Practice Guidelines
title_full_unstemmed Emergency Department Clinician Perspectives on the Data Availability to Implement Clinical Decision Support Tools for Five Clinical Practice Guidelines
title_short Emergency Department Clinician Perspectives on the Data Availability to Implement Clinical Decision Support Tools for Five Clinical Practice Guidelines
title_sort emergency department clinician perspectives on the data availability to implement clinical decision support tools for five clinical practice guidelines
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5961800/
https://www.ncbi.nlm.nih.gov/pubmed/29888092
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