The Challenge of Evaluating Electronic Decision Support in the Community

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Health Informatics New Zealand

Jim Warren Department of Computer Science University of Auckland (P15, 17/10/08, Usability stream, 1.50pm)

Saúde e medicina Tecnologia

The Challenge of Evaluating Electronic Decision Support in the Community Jim Warren, Rekha Gaikwad, Thusitha Mabotuwana, Mehnaz Adnan, Tim Kenealy, Beryl Plimmer, Susan Wells, Paul Roseman and Karl Cole HINZ Conference & Exhibition Rotorua, October 2008

Why Study Electronic Decision Support? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Secret to Success ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Kawamoto K, Houlihan C, Balas E, Lobach D. Improving clinical practice using clinical decision support systems: a systematic review of trials to identify features critical to success. BMJ 2005; 330(7494), 765.

Failure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Eccles M, McColl E, Steen N, Rousseau N, Grimshaw J, Parkin D, Purves I. Effect of computerised evidence based guidelines of asthma and angina in adults in primary care: cluster randomised controlled trial. BMJ 2002; 325(7370), 941-8. Rousseau N, McColl E, Newton J, Grimshaw J, Eccles M. Practice based, longitudinal, qualitative interview study of computerised evidence based guidelines in primary care. BMJ 2003; 326(7384): 314-21.

AMIA Framework ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],* A Roadmap for National Action on Clinical Decision Support , June 2006

A look at PREDICT CVD/Diabetes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Our Method of Investigation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Challenge: Rationalisation and Recollection ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Challenge: Consent, Recruitment and the Problem with Video ,[object Object],[object Object],[object Object]

Challenge: Realistic Test Cases and Software Environment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Challenge: Accepting the Cost ,[object Object],[object Object],[object Object],[object Object],[object Object]

Opportunity: Exit Interviews and Focus Groups ,[object Object],[object Object],[object Object],[object Object]

Opportunity: ‘Discount’ Usability Testing ,[object Object],[object Object],[object Object],[object Object],[object Object]

Opportunity: Automated Logging from the Vendor/Host ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Opportunity: CDSS-prompted Enrolment and Video Recording ,[object Object],[object Object],[object Object],[object Object]

Opportunity: Exploiting Electronic Data Interchange Standards ,[object Object],[object Object],[object Object]

Discussion ,[object Object],[object Object],[object Object],[object Object],[object Object]

Conclusion ,[object Object],[object Object],[object Object],[object Object]

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