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. © 2009 Springer Berlin Heidelberg.
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CITATION STYLE
Wu, S. J., Lehto, M., Yih, Y., Saleem, J. J., & Doebbeling, B. (2009). On improving provider decision making with enhanced computerized clinical reminders. In Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics) (Vol. 5620 LNCS, pp. 569–577). https://doi.org/10.1007/978-3-642-02809-0_60
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