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Tailoring decision support to suit user needs: a diagnostic imaging example.

Janessa Griffith1, Elizabeth M Borycki, Andre W Kushniruk

  • 1School of Health Information Science, University of Victoria, Victoria, British Columbia, Canada. janessag@uvic.ca

Studies in Health Technology and Informatics
|February 8, 2013
PubMed
Summary
This summary is machine-generated.

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Implementing a decision support system (DSS) can reduce unnecessary diagnostic imaging (DI) by improving physician communication and providing essential patient data. This supports appropriate DI ordering and resource utilization.

Area of Science:

  • Medical Informatics
  • Radiology
  • Health Services Research

Background:

  • Unnecessary diagnostic imaging (DI) poses risks to patient safety and strains healthcare resources.
  • Decision support systems (DSS) are being explored in Canada to optimize DI examination practices.

Purpose of the Study:

  • To design a DI DSS prototype informed by physician interviews and literature review.
  • To enhance the appropriate use of DI resources through improved ordering practices.

Main Methods:

  • Literature review and interviews with healthcare professionals to identify key themes for DSS design.
  • Development of a DI DSS prototype incorporating identified features.

Main Results:

  • Key features include specifying examination use, enhancing interprofessional communication, and preventing duplicate orders.

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  • The DSS prototype also includes cumulative radiation exposure data and clinical decision support resources.

    • Conclusions:

    • Physician-informed DSS design can promote the judicious use of DI.
    • This approach supports physicians and nurse practitioners in making appropriate DI ordering decisions.