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- Title
Electronic decision support for diagnostic imaging in a primary care setting.
- Authors
Curry, Lynn; Reed, Martin H.
- Abstract
Methods Clinical guideline adherence for diagnostic imaging (DI) and acceptance of electronic decision support in a rural community family practice clinic was assessed over 36 weeks. Physicians wrote 904 DI orders, 58% of which were addressed by the Canadian Association of Radiologists guidelines. Results Of those orders with guidelines, 76% were ordered correctly: 24% were inappropriate or unnecessary resulting in a prompt from clinical decision support. Physicians followed suggestions from decision support to improve their DI order on 25% of the initially inappropriate orders. The use of decision support was not mandatory, and there were significant variations in use rate. Initially, 40% reported decision support disruptive in their work flow, which dropped to 16% as physicians gained experience with the software. Conclusions Physicians supported the concept of clinical decision support but were reluctant to change clinical habits to incorporate decision support into routine work flow.
- Subjects
DECISION support systems; PRIMARY care; DIAGNOSTIC imaging; FAMILY medicine; GUIDELINES; WORKFLOW; ORDER entry; RURAL health services; QUANTITATIVE research; QUALITATIVE research
- Publication
Journal of the American Medical Informatics Association, 2011, Vol 18, Issue 3, p267
- ISSN
1067-5027
- Publication type
Article
- DOI
10.1136/amiajnl-2011-000049