A Pragmatic Guide to Establishing Clinical Decision Support Governance and Addressing Decision Support Fatigue: a Case Study.
Year: 2018
Type: article
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%.
Source: Europe PMC (PubMed Central)
Authors: Kensaku Kawamanto, Michael C Flynn, Polina Kukhareva, David ElHalta, Rachel Hess, Travis Gregory, Chris Walls, Angela M Wigren, Damian Borbolla, Bruce E Bray, Mary H Parsons, Brett L Clayson, Melissa S Briley, Carole H Stipelman, Dean Taylor, Carrie S King, Guilherme Del Fiol, Thomas J Reese, Charlene R Weir, Teresa Taft, Micheal B Strong
Institution: University of Utah
Language: English
Subfield: Health Information Management
Field: Health Professions
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2941497317