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Related Experiment Videos

Housestaff attitudes toward computer-based clinical decision support.

R Grundmeier1, K Johnson

  • 1University of Pennsylvania, Philadelphia, USA.

Proceedings. AMIA Symposium
|November 24, 1999
PubMed
Summary
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Most housestaff support computer-based decision support systems (CDSS), especially when alerts have high predictive value. Positive experiences with prior systems predict acceptance of new CDSS tools.

Area of Science:

  • Medical Informatics
  • Clinical Decision Support
  • Health Services Research

Background:

  • Computer-based decision support systems (CDSS) offer potential benefits in healthcare quality and safety.
  • Understanding physician attitudes is crucial for successful CDSS implementation.

Purpose of the Study:

  • To assess housestaff (physicians-in-training) attitudes toward CDSS.
  • To determine the acceptable threshold for displaying CDSS alerts.

Main Methods:

  • A survey was administered to 770 housestaff physicians.
  • 209 surveys were returned and analyzed.

Main Results:

  • A majority favored CDSS, believing it improves care and reduces adverse drug events.

Related Experiment Videos

  • Physicians were neutral on CDSS impact on productivity and autonomy.
  • Alerts for surgical consultation and hypokalemia were approved, with a preferred positive predictive value (PPV) threshold of 67%.
  • Positive experiences with prior order entry systems correlated with favorable CDSS attitudes.

    • Conclusions:

    • Most housestaff support CDSS implementation.
    • Prior system experiences influence CDSS acceptance.
    • CDSS design, particularly alert thresholds, is key for housestaff adoption.