Development of a workflow integration survey (WIS) for implementing computerized clinical decision support.

Mindy Flanagan, Nicole Arbuckle, Jason J. Saleem, Laura G. Militello, David Haggstrom, Bradley N. Doebbeling

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Interventions that focus on improving computerized clinical decision support (CDS) demonstrate that successful workflow integration can increase the adoption and use of CDS. However, metrics for assessing workflow integration in clinical settings are not well established. The goal of this study was to develop and validate a survey to assess the extent to which CDS is integrated into workflow. Qualitative data on CDS design, usability, and integration from four sites was collected by direct observation, interviews, and focus groups. Thematic analysis based on the sociotechnical systems theory revealed consistent themes across sites. Themes related to workflow integration included navigation, functionality, usability, and workload. Based on these themes, a brief 12-item scale to assess workflow integration was developed, refined, and validated with providers in a simulation study. To our knowledge, this is one of the first tools developed to specifically measure workflow integration of CDS.

Original languageEnglish (US)
Pages (from-to)427-434
Number of pages8
JournalAMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium
Volume2011
StatePublished - 2011
Externally publishedYes

Fingerprint

Clinical Decision Support Systems
Workflow
Systems Theory
Workload
Focus Groups
Surveys and Questionnaires
Observation
Interviews

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Development of a workflow integration survey (WIS) for implementing computerized clinical decision support. / Flanagan, Mindy; Arbuckle, Nicole; Saleem, Jason J.; Militello, Laura G.; Haggstrom, David; Doebbeling, Bradley N.

In: AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium, Vol. 2011, 2011, p. 427-434.

Research output: Contribution to journalArticle

Flanagan, Mindy ; Arbuckle, Nicole ; Saleem, Jason J. ; Militello, Laura G. ; Haggstrom, David ; Doebbeling, Bradley N. / Development of a workflow integration survey (WIS) for implementing computerized clinical decision support. In: AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium. 2011 ; Vol. 2011. pp. 427-434.
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