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Motivations for the Adoption of Chronic Disease Information Systems in General Practice

Daniel Carbone, Stephen Burgess
2009 Journal of Business Systems  
The purpose of this paper is to highlight the key motivational factors that lead to the successful implementation of Chronic Diseases Information Systems (CDISs) in twenty eight general practices in a  ...  However, the study also determined that the motivational forces are inter-related and suggests that the decision to adopt CDIS should consider a number of these identified factors.  ...  Thus, decisions about processes within the practice are also influenced by 'clinical level' strategic decisions.  ... 
doi:10.15209/jbsge.v4i1.150 fatcat:cdpajoirzndndec4utybn24hym

Guideline-Based Decision Support Systems for Prevention and Management of Chronic Diseases [chapter]

Niels Peek
2011 Efficient Decision Support Systems - Practice and Challenges in Biomedical Related Domain  
Kawamoto and colleagues (2005) conducted a systematic review and meta-analysis of randomised clinical trials that assessed efficacy of decision support systems in improving clinical practice.  ...  Using CDS for guideline implementation In 1999, Shiffman and colleagues (1999) performed a systematic review of 25 studies of guideline-based CDS systems.  ...  Guideline-Based Decision Support Systems for Prevention and Management of Chronic Diseases, Efficient Decision Support Systems -Practice and Challenges in Biomedical Related Domain, Prof.  ... 
doi:10.5772/16882 fatcat:t73tdfdcxnh6dkh7t2nhzivzni

Technical Requirement of Clinical Decision Support system for Diabetic Patients

Shamim Kiyani, Sanaz Abasi, Zahra Koohjani, Azam Aslani
2020 Frontiers in Health Informatics  
The purpose of this article is reviewing diabetes decision support systems based on system design metrics, type and purpose of decision support systems.  ...  This article review the diabetes decision support systems based on system design metrics (interface, interaction, and information), type and purpose of decision support system.  ...  This is evidence-based practice. One way of supporting implementation of evidence is through evidence-based clinical practice guidelines [52] .  ... 
doi:10.30699/fhi.v9i1.217 fatcat:3yeoxedodfbyhflg7iyohtopsy

Do providers use computerized clinical decision support systems? A systematic review and meta-regression of clinical decision support uptake

Andrew Kouri, Janet Yamada, Jeffrey Lam Shin Cheung, Stijn Van de Velde, Samir Gupta
2022 Implementation Science  
Background Computerized clinical decision support systems (CDSSs) are a promising knowledge translation tool, but often fail to meaningfully influence the outcomes they target.  ...  The objective of this systematic review and meta-regression was to determine reported CDSS uptake and identify which CDSS features may influence uptake.  ...  Acknowledgements We thank Stephanie Segovia, Rosalind Tang, Aliki Karanikas, and Janannii Selvanathan for their support with research administration and title and abstract screening.  ... 
doi:10.1186/s13012-022-01199-3 pmid:35272667 pmcid:PMC8908582 fatcat:belumwqx4rex3irpgimzkg6m5m

Determining of Factors Influencing the Success and Failure of Hospital Information System and Their Evaluation Methods: A Systematic Review

Farahnaz Sadoughi, Khalil Kimiafar, Maryam Ahmadi, Mohammad Taghi Shakeri
1970 Iranian Red Crescent Medical Journal  
This research emphasizes the need to a comprehensive evaluation of HISs which considers a wide range of success and failure factors in these systems.  ...  Objectives: The purpose of this study was the identification of Hospital Information System (HIS) success and failure factors and the evaluation methods of these factors.  ...  Acknowledgements This study was part of a PhD. dissertation supported by Iran University of Medical Sciences (grant No: IUMS/ SHMIS-1390/460) Financial Disclosure There is no financial disclosure.  ... 
doi:10.5812/ircmj.11716 pmid:24693386 pmcid:PMC3955501 fatcat:zzqfpg7o2bg2jo4dtu3erhtgvi

A review on systematic reviews of health information system studies

Francis Lau, Craig Kuziemsky, Morgan Price, Jesse Gardner
2010 JAMIA Journal of the American Medical Informatics Association  
Key factors that influence HIS success included having in-house systems, developers as users, integrated decision support and benchmark practices, and addressing such contextual issues as provider knowledge  ...  The purpose of this review is to consolidate existing evidence from published systematic reviews on health information system (HIS) evaluation studies to inform HIS practice and research.  ...  Funding Support for this review was provided by the Canadian Institutes for Health Research, Canada Health Infoway and the College of Pharmacists of British Columbia.  ... 
doi:10.1136/jamia.2010.004838 pmid:20962125 pmcid:PMC3000756 fatcat:qv2yml7kxbeb7eaouquqhryibu

Nudging within learning health systems: next generation decision support to improve cardiovascular care

Yang Chen, Steve Harris, Yvonne Rogers, Tariq Ahmad, Folkert W. Asselbergs
2022 European Heart Journal  
An evidence-practice gap continues to exist in healthcare. We contest that this gap can be reduced by assessing the use of nudge theory as part of clinical decision support systems (CDSS).  ...  without a robust evidence base.  ...  Perry Wilson, MD MSCE, who helped to review an earlier version of this manuscript.  ... 
doi:10.1093/eurheartj/ehac030 pmid:35139182 pmcid:PMC8971005 fatcat:3btpbsyxand75pc3cbyz2ztup4

Clinical Decision Support Systems [chapter]

Dejan Dinevski, Uros Bele, Tomislav Sarenac, Uros Rajkovic, Olga Sustersic
2011 Telemedicine Techniques and Applications  
Selected contemporary examples of CDSS ATHENA The Athena decision support system was deployed in 2002 as a tool to implement guidelines for hypertension.  ...  of guidelines according to the local population structure and other factors.  ...  Clinical Decision Support Systems, Telemedicine Techniques and Applications, Prof.  ... 
doi:10.5772/25399 fatcat:trvxnkpssnhznfcetkzru3ra5u

Health systems guidance appraisal—a critical interpretive synthesis

Denis E. Ako-Arrey, Melissa C. Brouwers, John N. Lavis, Mita K. Giacomini
2015 Implementation Science  
To address this gap, we are conducting a program of research that aims to create a tool to support the appraisal of HSG and further enhance HSG development and reporting.  ...  Health systems guidance (HSG) are systematically developed statements that assist with decisions about options for addressing health systems challenges, including related changes in health systems arrangements  ...  [74] Do guidelines influence the implementation of health programs?  ... 
doi:10.1186/s13012-016-0373-y pmid:26800684 pmcid:PMC4724139 fatcat:525kkoeo3fhrdmkhayzudlmsfe

Model-based Integration of Clinical Practice Guidelines in Clinical Pathways

Katja Heiden
2012 International Conference on Advanced Information Systems Engineering  
Clinical Practice Guidelines (CPGs) and clinical pathways have been established to improve the quality of care and to reduce costs at the same time. CPGs have a positive impact on the health outcome.  ...  However, their influence on the clinical routine is still very low due to their narrative and non-formalized form.  ...  However, their influence on patient care in Germany is still very low [15] . A decisive factor for the success of CPGs is the provision of the knowledge at the point of care [10] .  ... 
dblp:conf/caise/Heiden12 fatcat:3q4btiw6afez5i7h6oofbilyzm

Internal and External Auditing in Health Systems

Elie P. Mersel, Shlomo Mor-Yosef, Shmuel C. Shapira
2005 Health Care Management Review  
A novel model might lead to better integration of auditors into the core activities of health system medical care, while creating common interests among all participants in the process.  ...  Traditionally, auditors are apprehensive when it comes to auditing clinical decisions.  ...  Clinical and nursing decisions activate the administrative and financial systems.  ... 
doi:10.1097/00004010-200504000-00010 pmid:15923918 fatcat:hxnplz3xczdxhppu3xtqs4b3de

Expanding the evidence base for global recommendations on health systems: strengths and challenges of the OptimizeMNH guidance process

Claire Glenton, Simon Lewin, Ahmet Metin Gülmezoglu
2015 Implementation Science  
Results: The systematic inclusion of a broader range of evidence, and the use of new guideline development tools, had a number of impacts.  ...  from Reviews of Qualitative Research (GRADE-CERQual) approach); we used a structured evidence-to-decision framework for health systems (the DECIDE framework) to help the guidance panel members move from  ...  Thanks also to all those who contributed to the reviews and other materials produced for OptimizeMNH and those who peer reviewed those documents and to Susan Norris from WHO's Guideline Review Committee  ... 
doi:10.1186/s13012-016-0470-y pmid:27430879 pmcid:PMC4950654 fatcat:sjnbsisr2rb63hp4amqpzgl6cq

Strategies for the implementation of clinical practice guidelines in public health: an overview of systematic reviews

Viviane C. Pereira, Sarah N. Silva, Viviane K. S. Carvalho, Fernando Zanghelini, Jorge O. M. Barreto
2022 Health Research Policy and Systems  
Background As a source of readily available evidence, rigorously synthesized and interpreted by expert clinicians and methodologists, clinical guidelines are part of an evidence-based practice toolkit,  ...  Methods This overview used systematic review methodology to locate and evaluate published systematic reviews regarding strategies for clinical practice guideline implementation and adhered to the PRISMA  ...  Sharmila A. Sousa, Mabel F. Figueiró, Kássia Fernandes, Everton N. da Silva and Marcus T. Silva.  ... 
doi:10.1186/s12961-022-00815-4 pmid:35073897 pmcid:PMC8785489 fatcat:jr6k6bvd7nc7piovtqsmdmid4y

Effectiveness of implementation strategies in improving physician adherence to guideline recommendations in heart failure: a systematic review protocol

Harriette G C Van Spall, Deepti Shanbhag, Itzhak Gabizon, Quazi Ibrahim, Ian D Graham, Karen Harlos, R Brian Haynes, Stuart J Connolly
2016 BMJ Open  
We will conduct a systematic review to identify implementation strategies that improve physician adherence to class I recommendations, those with clear evidence that benefits outweigh the risks.  ...  The uptake of Clinical Practice Guideline (CPG) recommendations that improve outcomes in heart failure (HF) remains suboptimal.  ...  the contextual factors that influence the success of an implementation strategy.  ... 
doi:10.1136/bmjopen-2015-009364 pmid:27033956 pmcid:PMC4823399 fatcat:qrwa7wb3ezdi5ane3alr3lv6ie

An Automated Clinical Alert System for Newly-Diagnosed Atrial Fibrillation

David A. Cook, Felicity Enders, Pedro J. Caraballo, Rick A. Nishimura, Farrell J. Lloyd, Kevan L. Hartshorn
2015 PLoS ONE  
We sought to develop, implement, and evaluate the impact of a computer-based clinical alert system intended to improve atrial fibrillation stroke prophylaxis, and identify reasons providers do not implement  ...  Objective Clinical decision support systems that notify providers of abnormal test results have produced mixed results.  ...  and Jane Shellum for their contributions to planning, implementation, and evaluation of the alert system.  ... 
doi:10.1371/journal.pone.0122153 pmid:25849969 pmcid:PMC4388495 fatcat:d3tsucyg3vbgxeecd4pvofgx5i
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