Although the vast majority of hospitals and medical practices have now implemented some type of CDS (HealthIT.gov reported a 72.8% adoption rate of CDS in 2013), high override rates, alert fatigue and general user dissatisfaction with CDS are widespread. A recent survey of chief medical information officers (CMIOs) found that 93% of CMIOs had experienced CDS malfunctions and 62% were not confident that their current monitoring methods and tools could detect or prevent CDS malfunctions.
The faculty of this activity report their findings from recent qualitative and quantitative research studies to help those responsible for designing, developing, implementing, and monitoring CDS learn what works well and how to avoid common CDS malfunctions.
Note: This content is based on the closing session of the AMIA 2018 Clinical Informatics Conference held May 8 – 10, 2018, held in Scottsdale, AZ.
Target Audience: Informaticians, nurses, physicians and other professionals involved in the process of designing, developing, testing, implementing and monitoring clinical decision support systems
- Joan Ash, PhD - Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, OR
- William Galanter, MS, MD, PhD - Department of Medicine; College of Medicine, Department of Pharmacy Practice, Outcomes and Policy; College of Pharmacy, University of Illinois at Chicago, Chicago, IL
- Sarah Collins Rossetti, RN, PhD - Department of Biomedical Informatics, Columbia University, New York, NY
- Adam Wright, PhD - Brigham & Women’s Hospital, Harvard Medical School, Partners Healthcare System, Boston, MA
After participating in this activity learners should be better able to:
- Organize their CDS activities using standard personnel roles and activities that are required to be performed to ensure safe and effective CDS
- Utilize standardized CDS flow diagrams and data-based validation of CDS implementations to facilitate the process of CDS design and testing
- Involve and coordinate multidisciplinary teams involved in the process of designing, building, testing and implementing CDS
- Employ a set of CDS design and development best practices
The American Medical Informatics Association is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit Designation Statement
The American Medical Informatics Association designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
ABPM Maintenance of Certification (MOC) Credit
The American Board of Preventive Medicine (ABPM) has approved this activity for a maximum of 1.5 LLSA credits towards ABPM MOC Part II requirements.
The American Board of Pathology (ABPath) has approved AMIA as a provider for Self-Assessment Modules (SAMs). AMIA is committed to assist ABPath diplomates with SAMs that contribute to a diplomate’s MOC activities.
Continuing Education for Nurses
The Maryland Nurses Association is an accredited approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
Activity Approval Code: LA18-02-0904-0821
Approved Contact Hours: 1.5
Nurse Planner (ANCC-criteria compliance): Juliana J. Brixey, PhD, MPH, MSN, RN
Nurse Planner (Content): Sarah Collins Rossetti, RN, PhD
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