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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
PubMed
Summary
This summary is machine-generated.

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).

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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.