Studying Readiness for Clinical Decision Support for Worker Health Using the Rapid Assessment Process and Mixed Methods Interviews

Details

• Personal Author:
  Ash JS ; Chase D ; Marovich S ; Murphy EV ; Wiesen JF
• Description:
  To determine how the Rapid Assessment Process (RAP) can be adapted to evaluate the readiness of primary care clinics for acceptance and use of computerized clinical decision support (CDS) related to clinical management of working patients, we used a unique blend of ethnographic methods for gathering data. First, knowledge resources, which were prototypes of CDS content areas (diabetes, lower back pain, and asthma) containing evidence-based information, decision logic, scenarios and examples of use, were developed by subject matter experts. A team of RAP researchers then visited five clinic settings to identify barriers and facilitators to implementing CDS about the health of workers in general and the knowledge resources specifically. Methods included observations, semi-structured qualitative interviews and graphic elicitation interviews about the knowledge resources. We used both template and grounded hermeneutic approaches to data analysis. Preliminary results indicate that the methods succeeded in generating specific actionable recommendations for CDS design. [Description provided by NIOSH]
• Subjects:
  Decision Making Diagnosis Occupational Health Safety
• Keywords:
  Decision Making Diagnostic Techniques Electronic Health Records Guidelines Health Care Information Systems
• ISSN:
  1559-4076
• Document Type:
  Text
• Funding:
  Contract
• Genre:
  Journal Article
• Place as Subject:
  Ohio ; Oregon ; OSHA Region 10 ; OSHA Region 3 ; OSHA Region 5 ; Virginia ; West Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DRDS - Division of Respiratory Disease Studies ; DSHEFS - Division of Surveillance, Hazard Evaluations, and Field Studies
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  285-294
• Volume:
  2016
• NIOSHTIC Number:
  nn:20052155
• Citation:
  AMIA Annu Symp Proc 2017 Feb; 2016:285-294
• Contact Point Address:
  Joan S. Ash, Ph.D., M.L.S., M.B.A., Oregon Health & Science University, Portland, OR, USA
• Federal Fiscal Year:
  2017
• Peer Reviewed:
  True
• Source Full Name:
  AMIA Annual Symposium. Proceedings
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:58e6159c1c5087488064216f42f79d7e6e4a4ffa847b0f9a3b7cff8fe79857b15d82e22d65bb0834044f83290ed1d07dbb89755a8fd843969e5a9ea9d591024c
• Download URL:
  https://stacks.cdc.gov/view/cdc/211744/cdc_211744_DS1.pdf
• File Type:
  [PDF - 469.98 KB ]