On improving provider decision making with enhanced computerized clinical reminders

Sze Jung Wu, Mark Lehto, Yuehwern Yih, Jason J. Saleem, Bradley Doebbeling

Research output: Chapter in Book/Report/Conference proceedingConference contribution

1 Scopus citations

Abstract

A computerized clinical reminder (CCR) system is a type of decision support tool to remind healthcare providers of recommended actions. In our prior study, we found a linear correlation between resolution time and adherence rate. This correlation implies a potentially biased clinical decision making. This study aimed to redesign the Veterans Affairs (VA) CCR system in order to improve providers' situation awareness and decision quality. The CCR redesign incorporated a knowledge-based risk factor repository and a prioritization mechanism. Both CCR designs were prototyped and tested by 16 physicians in a controlled lab in the Indianapolis VA Medical Center. The results showed that 80% of the subjects changed their prioritization decisions after being introduced to the modified design. Moreover, with the modified design, the correlation between resolution time and adherence rate was no longer found. The redesign improved the subjects' situation awareness and assisted them in making more informed decisions.

Original languageEnglish (US)
Title of host publicationDigital Human Modeling - Second International Conference, ICDHM 2009 - Held as Part of HCI International 2009, Proceedings
Pages569-577
Number of pages9
DOIs
StatePublished - Oct 28 2009
Externally publishedYes
Event2nd International Conference on Digital Human Modeling, ICDHM 2009. Held as Part of HCI International 2009 - San Diego, CA, United States
Duration: Jul 19 2009Jul 24 2009

Publication series

NameLecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)
Volume5620 LNCS
ISSN (Print)0302-9743
ISSN (Electronic)1611-3349

Other

Other2nd International Conference on Digital Human Modeling, ICDHM 2009. Held as Part of HCI International 2009
CountryUnited States
CitySan Diego, CA
Period7/19/097/24/09

Keywords

  • Computerized clinical reminders
  • Decision support system
  • Situation awareness

ASJC Scopus subject areas

  • Theoretical Computer Science
  • Computer Science(all)

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    Wu, S. J., Lehto, M., Yih, Y., Saleem, J. J., & Doebbeling, B. (2009). On improving provider decision making with enhanced computerized clinical reminders. In Digital Human Modeling - Second International Conference, ICDHM 2009 - Held as Part of HCI International 2009, Proceedings (pp. 569-577). (Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics); Vol. 5620 LNCS). https://doi.org/10.1007/978-3-642-02809-0_60