Is evidence of effectiveness a driver for clinical decision support selection? A qualitative descriptive study of senior hospital staff
| العنوان: | Is evidence of effectiveness a driver for clinical decision support selection? A qualitative descriptive study of senior hospital staff |
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| المؤلفون: | Melissa T Baysari, Bethany A Van Dort, Kristian Stanceski, Andrew Hargreaves, Wu Yi Zheng, Maria Moran, Richard Day, Ling Li, Johanna Westbrook, Sarah Hilmer |
| المصدر: | International Journal for Quality in Health Care. 35 |
| بيانات النشر: | Oxford University Press (OUP), 2022. |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | Health Policy, Public Health, Environmental and Occupational Health, General Medicine |
| الوصف: | Limited research has focused on understanding if and how evidence of health information technology (HIT) effectiveness drives the selection and implementation of technologies in practice. This study aimed to explore the views of senior hospital staff on the role evidence plays in the selection and implementation of HIT, with a particular focus on clinical decision support (CDS) alerts in electronic medication management systems. A qualitative descriptive design was used. Twenty senior hospital staff from six Australian hospitals in New South Wales and Queensland took part in a semistructured interview. Interviews were audio-recorded and transcribed, and a general inductive content analysis approach was used to identify themes. Participants acknowledged the importance of an evidence base, but reported that selection of CDS alerts, and HIT more broadly, was rarely underpinned by evidence that technologies improve patient care. Instead, investments in technologies were guided by the expectation that benefits will be achieved, bolstered by vendor assurances, and a perception that implementation of HIT is unavoidable. Postponing implementation of a technology until an evidence base is available was not always feasible. Although some technologies were seen as not requiring an evidence base, stakeholders viewed evidence as extremely valuable for informing decisions about selection of CDS alerts. In the absence of evidence, evaluation or monitoring of technologies postimplementation is critical, particularly to identify new errors or risks associated with HIT implementation and use. Increased transparency from vendors, with technology evaluation outcomes made directly available to healthcare organizations, may result in less reliance on logic, intuition, and vendor assertions and more evidence-based selection of HIT. |
| تدمد: | 1464-3677 1353-4505 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::f73005fb3508366560892844d3c35e9e https://doi.org/10.1093/intqhc/mzad004 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi...........f73005fb3508366560892844d3c35e9e |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14643677 13534505 |
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