TY - JOUR
T1 - Relationship of estimated resolution time and computerized clinical reminder adherence.
AU - Wu, Sze Jung
AU - Lehto, Mark
AU - Yih, Yuehwern
AU - Saleem, Jason J.
AU - Doebbeling, Bradley N.
PY - 2007
Y1 - 2007
N2 - Electronic decision support systems are an important tool for improving performance and improving quality of care. We investigated the relationship between physicians' estimated resolution times for computerized clinical reminders and adherence rates in VA outpatient settings. We surveyed 10 expert physician users to assess the resolution times of four targeted CCRs for three cases: pessimistic (worst case), expected (average), and optimistic times (best case). ANOVA test shows that physicians' adherence rates for the four CCRs differed significantly (p = 0.01). CCR adherence rate and resolution time were highly linearly correlated (R-square= 0.876 for the best case, R-square= 0.997 for the average case, and R-square= 0.670 for the worst case). This study suggested that future efforts in designing CCRs need to take resolution time into consideration during design, usability testing and implementation phases.
AB - Electronic decision support systems are an important tool for improving performance and improving quality of care. We investigated the relationship between physicians' estimated resolution times for computerized clinical reminders and adherence rates in VA outpatient settings. We surveyed 10 expert physician users to assess the resolution times of four targeted CCRs for three cases: pessimistic (worst case), expected (average), and optimistic times (best case). ANOVA test shows that physicians' adherence rates for the four CCRs differed significantly (p = 0.01). CCR adherence rate and resolution time were highly linearly correlated (R-square= 0.876 for the best case, R-square= 0.997 for the average case, and R-square= 0.670 for the worst case). This study suggested that future efforts in designing CCRs need to take resolution time into consideration during design, usability testing and implementation phases.
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M3 - Article
C2 - 18693853
AN - SCOPUS:56149115229
SN - 1559-4076
SP - 334
EP - 338
JO - AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
JF - AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
ER -