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In Silico Clinical Trials for Cardiovascular Disease
Published on: May 27, 2022
Provider Survey on Automated Clinical Decision Support for Cardiovascular Risk Assessment
Alisha P Chaudhry1, Sujith Samudrala1, Francisco Lopez-Jimenez1
1Department of Cardiovascular Medicine, Mayo Clinic and Mayo Foundation, Rochester, MN.
Insights
Provider feedback indicates that the cardiovascular risk profile clinical decision support (CDS) system is easy to use and valuable for clinical practice. Users desire continued support from CDS systems offering individualized patient data at the point-of-care.
Area of Science:
- Cardiovascular Medicine
- Health Informatics
- Clinical Decision Support Systems
Background:
- Clinical Decision Support (CDS) systems are increasingly integrated into healthcare to aid in patient management.
- Cardiovascular risk assessment is a critical component of preventative medicine.
- Evaluating provider experience with existing CDS tools is essential for optimizing their use and developing improved systems.
Purpose of the Study:
- To assess healthcare providers' opinions on a current clinical decision support (CDS) system for cardiovascular risk assessment.
- To gather insights for the development of a new, improved CDS system.
Main Methods:
- A web-based survey was distributed to 279 providers in the Cardiovascular Medicine department at Mayo Clinic.
- The survey was conducted between March and April 2018, with a response rate of 35.8% (100 respondents).
- Respondents were categorized as users of the cardiovascular risk profile CDS system.
Main Results:
- Of the 100 respondents, 52 were identified as users of the cardiovascular risk profile CDS system.
- A significant majority of users (80.8%) found the CDS system important or very important for their clinical practice.
- Users reported the system was easy or very easy to use (86.5%) and supported their clinical thought process (96.0%).
Conclusions:
- The cardiovascular risk profile CDS system is perceived as user-friendly and beneficial for supporting clinical decision-making at the point-of-care.
- Providers expressed a strong desire for future electronic health record systems to incorporate similar functionalities, emphasizing the need for continued CDS support with individualized patient data.
Objective:
To investigate provider opinions regarding a clinical decision support (CDS) system for cardiovascular risk assessment and for the creation of a replacement system.
Methods:
From March to April 2018, an invitation letter with a link to a self-administered web-based survey was sent via e-mail to 279 providers with primary appointment in the Department of Cardiovascular Medicine, Mayo Clinic, Rochester. The e-mail was sent to providers on March 8, 2018 and the survey closed on April 16, 2018.
Results:
One hundred providers responded to the survey yielding an overall response rate of 35.8%. Of these, 52 (52%) indicated they had used the cardiovascular (CV) risk profile CDS system and were classified as users and prompted to continue the survey. Among users, 42 (80.8%) indicated use of the CDS was either important (25; 48.1%) or very important (17; 32.7%) in their clinical practice; 45 (86.5%) responded that the system was very easy (17; 32.7%) or easy (28; 53.8%) to use. In addition, 48 (96.0%) users indicated that the CV risk profile supported their thought process at the point-of-care; 47 (97.9%) users indicated similar functionalities should be implemented into the new electronic health record system and 41 (85.4%) users reported new functionalities should also be incorporated.
Conclusions:
For most users, the CDS system was easy to use and supported clinical thought process at the point-of-care. Users also felt their practice was supported and should continue to be supported by CDS systems providing individualized patient information at the point-of-care.
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