Integrating the Practical Robust Implementation and Sustainability Model With Best Practices in Clinical Decision...

Area of Science:

• Health Informatics
• Implementation Science
• Clinical Decision Support Systems

Background:

• Clinical decision support (CDS) design best practices offer limited guidance on evidence-based implementation.
• Successful CDS tool adoption requires addressing factors beyond design, including real-world application.

Observation:

• This study integrates the Practical Robust Implementation and Sustainability Model (PRISM) with CDS design best practices.
• The integration identifies complementary areas and develops methods for effective application.
• Lessons learned refine the combined approach for practical use.

Findings:

• An integrated 5-phase approach (stakeholder engagement, design, testing, deployment, evaluation) guides CDS implementation.
• A dedicated implementation team with clinical informatics and analyst expertise leads the process.
• This iterative approach ensures multilevel factors are considered throughout the CDS lifecycle.

Implications:

• Integrating PRISM and CDS best practices enhances user-centered design by incorporating dynamic, multilevel contextual factors.
• This synthesis improves the reproducibility and sustainability of CDS implementations in healthcare settings.
• The adaptable approach empowers organizations to maximize and sustain CDS implementation success.