Journal article
Interface, information, interaction: a narrative review of design and functional requirements for clinical decision support
Journal of the American Medical Informatics Association : JAMIA, v 25(5), pp 585-592
01 May 2018
PMID: 29126196
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective: Provider acceptance and associated patient outcomes are widely discussed in the evaluation of clinical decision support systems (CDSSs), but critical design criteria for tools have generally been overlooked. The objective of this work is to inform electronic health record alert optimization and clinical practice workflow by identifying, compiling, and reporting design recommendations for CDSS to support the efficient, effective, and timely delivery of high-quality care.
Material and Methods: A narrative review was conducted from 2000 to 2016 in PubMed and The Journal of Human Factors and Ergonomics Society to identify papers that discussed/recommended design features of CDSSs that are associated with the success of these systems.
Results: Fourteen papers were included as meeting the criteria and were found to have a total of 42 unique recommendations; 11 were classified as interface features, 10 as information features, and 21 as interaction features.
Discussion: Features are defined and described, providing actionable guidance that can be applied to CDSS development and policy. To our knowledge, no reviews have been completed that discuss/recommend design features of CDSS at this scale, and thus we found that this was important for the body of literature. The recommendations identified in this narrative review will help to optimize design, organization, management, presentation, and utilization of information through presentation, content, and function. The designation of 3 categories (interface, information, and interaction) should be further evaluated to determine the critical importance of the categories. Future work will determine how to prioritize them with limited resources for designers and developers in order to maximize the clinical utility of CDSS.
Conclusion: This review will expand the field of knowledge and provide a novel organization structure to identify key recommendations for CDSS.
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Details
- Title
- Interface, information, interaction: a narrative review of design and functional requirements for clinical decision support
- Creators
- Kristen Miller - MedStar HealthDanielle Mosby - MedStar HealthMuge Capan - Christiana Care Health SystemRebecca Kowalski - MedStar HealthRaj Ratwani - MedStar HealthYaman Noaiseh - Drexel UniversityRachel Kraft - Christiana Care Health SystemSanford Schwartz - University of PennsylvaniaWilliam S. Weintraub - MedStar Washington Hospital Center, MedStar Health, Washington, DC, USA.Ryan Arnold - Christiana Care Health System
- Publication Details
- Journal of the American Medical Informatics Association : JAMIA, v 25(5), pp 585-592
- Publisher
- Oxford Univ Press
- Number of pages
- 8
- Grant note
- R01LM012300 / NATIONAL LIBRARY OF MEDICINE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Library of Medicine (NLM) U54-GM104941 / Institutional Development Award from the National Institute of General Medical Sciences of the National Institutes of Health 1R01LM012300-01A1 / National Library of Medicine of the National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Library of Medicine (NLM) U54GM104941 / NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of General Medical Sciences (NIGMS)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Decision Sciences (and Management Information Systems); Physical Therapy (and Rehabilitation Sciences)
- Web of Science ID
- WOS:000434113200018
- Scopus ID
- 2-s2.0-85048543997
- Other Identifier
- 991019168596904721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Computer Science, Information Systems
- Computer Science, Interdisciplinary Applications
- Health Care Sciences & Services
- Information Science & Library Science
- Medical Informatics