| Literature DB >> 30815104 |
Kensaku Kawamanto1, Michael C Flynn2,3, Polina Kukhareva1, David ElHalta4, Rachel Hess2,5, Travis Gregory6, Chris Walls6, Angela M Wigren6, Damian Borbolla1, Bruce E Bray1,2, Mary H Parsons2, Brett L Clayson7, Melissa S Briley7, Carole H Stipelman3, Dean Taylor6, Carrie S King1,2,3,4,5,6,7, Guilherme Del Fiol1, Thomas J Reese1, Charlene R Weir1, Teresa Taft1, Micheal B Strong2.
Abstract
There is limited guidance available in the literature for establishing clinical decision support (CDS) governance and improving CDS effectiveness in a pragmatic, resource-efficient manner. Here, we describe how University of Utah Health established enterprise CDS governance in 2015 leveraging existing resources. Key components of the governance include a multi-stakeholder CDS Committee that vets new requests and reviews existing content; a requirement that proposed CDS is actually desired by intended recipients; coordination with other governance bodies; basic data analytics to identify high-frequency, low-value CDS and monitor progress; active solicitation of user issues; the transition of alert and reminder content to other, more appropriate areas in the electronic health record; and the judicious use of experimental designs to guide decision-making regarding CDS effectiveness. In the three years since establishing this governance, new CDS has been continuously added while the overall burden of clinician-facing alerts and reminders has been reduced by 53.8%.Mesh：
Year: 2018 PMID： 30815104 PMCID： PMC6371304
Source DB: PubMed Journal: AMIA Annu Symp Proc ISSN： 1559-4076