Clinical decision support in small community practice settings: a case study.
other · Level V
Where this comes from
- Record sourced from PubMed, PMID 21504995.
- Also identified by DOI 10.1136/amiajnl-2010-000013 and PMC identifier 3197983.
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Abstract
Using an eight-dimensional model for studying socio-technical systems, a multidisciplinary team of investigators identified barriers and facilitators to clinical decision support (CDS) implementation in a community setting, the Mid-Valley Independent Physicians Association in the Salem, Oregon area. The team used the Rapid Assessment Process, which included nine formal interviews with CDS stakeholders, and observation of 27 clinicians. The research team, which has studied 21 healthcare sites of various sizes over the past 12 years, believes this site is an excellent example of an organization which is using a commercially available electronic-health-record system with CDS well. The eight-dimensional model proved useful as an organizing structure for the evaluation.
Medical subject headings
- Ambulatory Care Facilities
- Community Health Services
- Decision Support Systems, Clinical
- Electronic Health Records
- Medical Records Systems, Computerized