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Early Perspectives on Utilization of a Clinical Decision Support Tool: A Mixed-Methods Study.
Sameepya Thatipelli1, Matt Loth1, Rubina Rizvi1
1University of Minnesota, Minneapolis, MN, USA.
Clinicians find clinical decision support (CDS) tools like VisualDx™ helpful for diagnosis, especially for dermatology. Improving training and awareness can boost adoption and effective use in healthcare settings.
Area of Science:
- Clinical Informatics
- Health Services Research
- Medical Education
Background:
- Clinical decision support (CDS) tools offer potential benefits for diagnosis and education.
- Understanding clinician perspectives is crucial for successful CDS implementation.
- VisualDx™ is a CDS tool utilized in integrated healthcare systems.
Purpose of the Study:
- To evaluate clinician perspectives on the use of VisualDx™ for diagnosis and education.
- To identify barriers and facilitators influencing CDS adoption and usability.
- To inform strategies for wider and more successful CDS implementation.
Main Methods:
- A quality improvement study was conducted.
- Data collection involved surveys, interviews, and secondary data analysis.
- The RE-AIM implementation science framework was used to analyze barriers.
Main Results:
- VisualDx™ demonstrated multidimensional functionality, with highest adoption in outpatient primary care.
- Key benefits included assistance with differential diagnoses, particularly for dermatological conditions.
- Barriers identified included limited awareness (Reach), access challenges (Adoption), and suboptimal training (Implementation/Maintenance).
Conclusions:
- Clinician perspectives are vital for understanding CDS adoption and use.
- Addressing identified barriers through improved training and awareness can enhance CDS utilization.
- Integrating end-user feedback can lead to more effective and widespread adoption of CDS tools.
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