Flanagan Mindy, Arbuckle Nicole, Saleem Jason J, Militello Laura G, Haggstrom David A, Doebbeling Bradley N
Indiana University (IU) Center for Health Services & Outcomes Research, Regenstrief Institute, Inc., Indianapolis, IN, USA.
AMIA Annu Symp Proc. 2011;2011:427-34. Epub 2011 Oct 22.
Interventions that focus on improving computerized clinical decision support (CDS) demonstrate that successful workflow integration can increase the adoption and use of CDS. However, metrics for assessing workflow integration in clinical settings are not well established. The goal of this study was to develop and validate a survey to assess the extent to which CDS is integrated into workflow. Qualitative data on CDS design, usability, and integration from four sites was collected by direct observation, interviews, and focus groups. Thematic analysis based on the sociotechnical systems theory revealed consistent themes across sites. Themes related to workflow integration included navigation, functionality, usability, and workload. Based on these themes, a brief 12-item scale to assess workflow integration was developed, refined, and validated with providers in a simulation study. To our knowledge, this is one of the first tools developed to specifically measure workflow integration of CDS.
专注于改进计算机化临床决策支持（CDS）的干预措施表明，成功的工作流程整合可以提高CDS的采用率和使用率。然而，用于评估临床环境中工作流程整合的指标尚未得到很好的确立。本研究的目的是开发并验证一项调查，以评估CDS融入工作流程的程度。通过直接观察、访谈和焦点小组收集了来自四个地点的关于CDS设计、可用性和整合的定性数据。基于社会技术系统理论的主题分析揭示了各地点之间一致的主题。与工作流程整合相关的主题包括导航、功能、可用性和工作量。基于这些主题，开发了一个简短的12项量表来评估工作流程整合，并在模拟研究中与提供者一起进行了完善和验证。据我们所知，这是专门用于测量CDS工作流程整合的首批工具之一。
