Projects
Clinical Decision Support in Community Hospitals: Barriers and Facilitators
2009-2011
National Library of Medicine
Total award $400,000
PI: Dean Sittig
Clinical decision support is key to computerized provider order entry success and safer, more efficient health care. Research at leading academic health centers indicates that when computerized provider order entry (CPOE) is coupled with clinical decision support (CDS), medical errors may decrease and costs drop. However, CPOE with CDS is not used in most community hospitals, which account for approximately 96% of all U.S. hospitals. This gap in CDS implementation between community and teaching hospitals portends serious consequences for health care quality, patient safety, and rising costs. This revised proposal outlines three aims, within a systems theory framework, to investigate CDS in community hospitals, and to collect and disseminate knowledge about what does and does not work. Research questions are 1) What are barriers to and facilitators for use of different types of CDS in community hospitals? 2) What strategies have community hospitals used to lessen the barriers and strengthen the facilitators?
Projects
- Improving the Safety and Quality of Pediatric Health Care
- Promoting Colorectal Cancer Screening Among Members of Internet Health Communities
- Optimizing Nutrition in Very Low Birth Weight Patients with Prolonged Transition to Full Enteral Feedings
- Clinical Decision Support in Community Hospitals: Barriers and Facilitators
- University of Texas System Patient Safety Activities
- Using Electronic Data to Improve Care of Patients with Known or Suspected Cancer
- AHRQ Training Program in Patient Safety and Quality: Using Health Information Technology to Improve Quality and Safety
- Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors
- Improving Teamwork for Neonatal Resuscitation: A Randomized Trial of Simulated Neonatal Resuscitation Training With and Without Team Training
- Crossing an Invisible Quality Chasm: From NICU To Ambulatory Care
- Developing a Composite Indicator to Measure the Quality of Neonatal Intensive Care
- Reducing Missed and Delayed Diagnoses in Cancer: Lessons from Aviation
- Prevention of Surgical Site Infections
- The Pebble Project
Questionnaire
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