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Table 3 Themes, subthemes, and recommended practices

From: Recommended practices for computerized clinical decision support and knowledge management in community settings: a qualitative study

Theme

Subtheme

Recommended Practice

User Component-- Theme 1: Workflow

  

Assess workflow early

  

Start with simple inline CDS

  

Plan to customize products

to fit workflow and vice versa

Content Component-- Theme 2: Knowledge Management

 

Knowledge creation

Plan early and allocate sufficient resources

 

Content library management

Catalog and monitor CDS

from the beginning

Technology Component-- Theme 3: Data as a foundation

 

Having enough information about the patient

Develop interfaces to external

systems

 

Quality of the data

Participate in HIE efforts

 

Sharing the data

Educate clinicians about reason and importance of good data

 

Varied uses of data

Promote standards

Technology Component-- Theme 4: User computer interaction

 

Customization

Solicit feedback

 

Usefulness

Test new CDS on users

Technology Component-- Theme 5: Measurement and metrics

 

Administrative needs

Identify reporting goals

 

Monitoring CDS

Plan measures early

  

Refine CDS based on measures

Governance Component-- Theme 6: Governance

 

Environmental factors

Identify existing structures to

repurpose as many as possible

 

Setting priorities and resource management

Establish decision making

structures early

 

Governance structure

Plan to reassess structures

regularly

 

Relations with vendors

Involve clinicians continuously

New Construct, Translational Interaction--Theme 7: Translation for collaboration

 

Collaboration for development

Promote collaboration

 

Translation for vendor collaboration

Speak language of collaborators

 

Translation between users and IT

Spend time with users as they

work

 

Collaboration among clinical orgs.

Create a culture of interaction

New Construct, Translational Interaction--Theme 8: The meaning of CDS

 

Multiple meanings

Understand the user view

 

Informatics philosophy

View CDS broadly

New Construct, Translational Interaction--Theme 9: Roles of special essential people

 

As previously defined

Create and formalize roles

 

Newly found roles

Educate the workforce

New Construct, Translational Interaction--Theme 10: Communication, training, support

 

Communication, training, support

Involve users, give resources, over-communicate