Housestaff attitudes toward computer-based clinical decision support

OBJECTIVE: To measure housestaff attitudes towards computer-based decision support and their threshold for having CDSS messages displayed

Bibliographische Detailangaben
Veröffentlicht in:Proceedings. AMIA Symposium. - 1998. - (1999) vom: 23., Seite 266-70
1. Verfasser: Grundmeier, R (VerfasserIn)
Weitere Verfasser: Johnson, K
Format: Aufsatz
Sprache:English
Veröffentlicht: 1999
Zugriff auf das übergeordnete Werk:Proceedings. AMIA Symposium
Schlagworte:Journal Article Research Support, Non-U.S. Gov't
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100 1 |a Grundmeier, R  |e verfasserin  |4 aut 
245 1 0 |a Housestaff attitudes toward computer-based clinical decision support 
264 1 |c 1999 
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500 |a Date Completed 01.02.2000 
500 |a Date Revised 13.11.2018 
500 |a published: Print 
500 |a Citation Status MEDLINE 
520 |a OBJECTIVE: To measure housestaff attitudes towards computer-based decision support and their threshold for having CDSS messages displayed 
520 |a DESIGN: 770 self-administered surveys were distributed to housestaff physicians 
520 |a RESULTS: 209 surveys were returned. 63% of respondents agreed or strongly agreed that CDSS would improve quality of care, while 52% agreed or strongly agreed that it would decrease adverse drug events. Respondents were neutral regarding the impact of CDSS on productivity and on their autonomy. Sixty percent approved of a reminder to consider surgical consultation in a patient with abdominal pain, while 88% approved of alerts about hypokalemia. Respondents felt both reminders should be triggered when their PPV exceeded 67%. Attitudes toward POE correlated positively with attitudes toward CDSS (Pearson's rho 0.56; p < 0.0001). Respondents who were dissatisfied with POE had a higher threshold PPV for seeing reminders 
520 |a CONCLUSION: The majority of housestaff favor the implementation of a CDSS. Housestaff with favorable POE experiences were more likely to endorse CDSS, and those with negative POE experience were more likely to oppose it. The results suggest that a carefully designed CDSS with rules constructed to exceed a threshold PPV would be accepted by housestaff 
650 4 |a Journal Article 
650 4 |a Research Support, Non-U.S. Gov't 
700 1 |a Johnson, K  |e verfasserin  |4 aut 
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