PD53-11 PRIMARY CARE PHYSICIANSʼ PERCEPTIONS OF AN ELECTRONIC MEDICAL RECORD-EMBEDDED DECISION SUPPORT TOOL FOR PROSTATE CANCER SCREENING

2020 ◽  
Vol 203 ◽  
pp. e1101
Author(s):  
Sigrid Carlsson* ◽  
Tiffany Le ◽  
Junaid Nabi ◽  
Andrew Vickers ◽  
Mark Preston ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Primary Care ◽  
Decision Support ◽  
Cancer Screening ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Prostate Cancer Screening ◽  
Decision Support Tool ◽  
Support Tool

scholarly journals Impact of an Electronic Medical Record-Based Clinical Decision Support Tool for Dysphagia Screening on Care Quality

Stroke ◽  
2012 ◽  
Vol 43 (12) ◽  
pp. 3399-3401 ◽  
Author(s):  
Kamakshi Lakshminarayan ◽  
Nassir Rostambeigi ◽  
Candace C. Fuller ◽  
James M. Peacock ◽  
Albert W. Tsai
Keyword(s):  
Decision Support ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Clinical Decision Support ◽  
Decision Support Tool ◽  
Clinical Decision ◽  
Care Quality ◽  
Support Tool ◽  
Clinical Decision Support Tool

scholarly journals Supporting deprescribing in hospitalised patients: formative usability testing of a computerised decision support tool

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Melissa T. Baysari ◽  
Mai H. Duong ◽  
Patrick Hooper ◽  
Michaela Stockey-Bridge ◽  
Selvana Awad ◽  
...  
Keyword(s):  
Decision Support ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Adverse Drug Events ◽  
Digital Health ◽  
Usability Testing ◽  
Routine Care ◽  
Assessment Tools ◽  
Support Tool ◽  
Hospitalised Patients

Abstract Background Despite growing evidence that deprescribing can improve clinical outcomes, quality of life and reduce the likelihood of adverse drug events, the practice is not widespread, particularly in hospital settings. Clinical risk assessment tools, like the Drug Burden Index (DBI), can help prioritise patients for medication review and prioritise medications to deprescribe, but are not integrated within routine care. The aim of this study was to conduct formative usability testing of a computerised decision support (CDS) tool, based on DBI, to identify modifications required to the tool prior to trialling in practice. Methods Our CDS tool comprised a DBI MPage in the electronic medical record (clinical workspace) that facilitated review of a patient’s DBI and medication list, access to deprescribing resources, and the ability to deprescribe. Two rounds of scenario-based formative usability testing with think-aloud protocol were used. Seventeen end-users participated in the testing, including junior and senior doctors, and pharmacists. Results Participants expressed positive views about the DBI CDS tool but testing revealed a number of clear areas for improvement. These primarily related to terminology used (i.e. what is a DBI and how is it calculated?), and consistency of functionality and display. A key finding was that users wanted the CDS tool to look and function in a similar way to other decision support tools in the electronic medical record. Modifications were made to the CDS tool in response to user feedback. Conclusion Usability testing proved extremely useful for identifying components of our CDS tool that were confusing, difficult to locate or to understand. We recommend usability testing be adopted prior to implementation of any digital health intervention. We hope our revised CDS tool equips clinicians with the knowledge and confidence to consider discontinuation of inappropriate medications in routine care of hospitalised patients. In the next phase of our project, we plan to pilot test the tool in practice to evaluate its uptake and effectiveness in supporting deprescribing in routine hospital care.

Mediated decision support in prostate cancer screening: A randomized controlled trial of decision counseling

2011 ◽  
Vol 83 (2) ◽  
pp. 240-246 ◽  
Author(s):  
Ronald E. Myers ◽  
Constantine Daskalakis ◽  
Elisabeth J.S. Kunkel ◽  
James R. Cocroft ◽  
Jeffrey M. Riggio ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Randomized Controlled Trial ◽  
Decision Support ◽  
Cancer Screening ◽  
Prostate Cancer Screening ◽  
Controlled Trial ◽  
Randomized Controlled
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