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A rapid assessment process for clinical informatics interventions.
Joan S Ash1, Dean F Sittig, Carmit K McMullen
1Oregon Health and Science University, Portland, Oregon, USA.
AMIA ... Annual Symposium Proceedings. AMIA Symposium
|November 13, 2008
Summary
A Rapid Assessment Process (RAP) provides timely feedback for informatics interventions. This method revealed significant differences in how users and informaticians perceive clinical decision support (CDS).
Area of Science:
- Health Informatics
- Information Science
- Clinical Decision Support Systems
Background:
- Informatics interventions occur in dynamic environments with many uncontrolled variables.
- Timely assessment is crucial for effective intervention modification.
- Existing assessment methods may not suit the rapid pace of informatics.
Purpose of the Study:
- To adapt and refine a Rapid Assessment Process (RAP) for informatics interventions.
- To evaluate the utility of RAP in a study of clinical decision support (CDS) in community hospitals.
- To identify and understand differing conceptualizations of CDS among users and informaticians.
Main Methods:
- Adapted a methodology from international health and epidemiology for informatics.
- Implemented the Rapid Assessment Process (RAP) during a study of clinical decision support (CDS).
- Collected data to assess the informatics intervention and user perceptions.
Main Results:
- The RAP enabled the provision of actionable feedback to implementers.
- Significant discrepancies were identified in how end-users and informaticians conceptualize CDS.
- The study highlighted the need for further investigation into these differing perspectives.
Conclusions:
- The Rapid Assessment Process (RAP) is a viable method for evaluating informatics interventions in complex settings.
- Understanding user and informatician conceptualizations of CDS is key to improving its acceptance.
- Future research should focus on bridging the gap in understanding CDS to enhance user adoption.
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