Clinical decision support in small community practice settings: a case study
Clinical decision support in small community practice settings: a case study
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DOI：
10.1136/amiajnl-2010-000013
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发表时间：
2011-11-01
影响因子：
6.4
通讯作者：
Middleton, Blackford
中科院分区：
文献类型：
--
作者：
Ash, Joan S.;Sittig, Dean F.;Middleton, Blackford
使用一个八维模型研究社会技术系统，一个多学科的研究小组确定的障碍和促进临床决策支持（CDS）的实施在社区设置，中谷独立医师协会在塞勒姆，俄勒冈州地区。该团队使用了快速评估流程，其中包括与CDS利益相关者的9次正式访谈，以及对27名临床医生的观察。该研究小组在过去12年中研究了21个不同规模的医疗保健网站，认为该网站是一个很好的例子，说明一个组织正在使用商业上可用的带有CDS的电子健康记录系统。八维模式证明是一种有用的评价组织结构。
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.