Dataset Information

Governance for clinical decision support: case studies and recommended practices from leading institutions.

ABSTRACT:

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.

SUBMITTER: Wright A

PROVIDER: S-EPMC3116253 | biostudies-literature | 2011 Mar-Apr

REPOSITORIES: biostudies-literature

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Publications

Governance for clinical decision support: case studies and recommended practices from leading institutions.

Wright Adam A Sittig Dean F DF Ash Joan S JS Bates David W DW Feblowitz Joshua J Fraser Greg G Maviglia Saverio M SM McMullen Carmit C Nichol W Paul WP Pang Justine E JE Starmer Jack J Middleton Blackford B

Journal of the American Medical Informatics Association : JAMIA 20110120 2

<h4>Objective</h4>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.<h4>Design</h4>Three site visits were conducted at institutions across the USA to learn about CDS capabili ...[more]

PMID: 21252052

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Dataset Information

Governance for clinical decision support: case studies and recommended practices from leading institutions.

Objective

Design

Measurements

Results

Conclusion

Publications

Governance for clinical decision support: case studies and recommended practices from leading institutions.

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