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

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

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


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
StatePublished - 2011
Externally publishedYes

ASJC Scopus subject areas

  • General Medicine


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