TY - JOUR
T1 - The state of the art in clinical knowledge management
T2 - An inventory of tools and techniques
AU - Sittig, Dean F.
AU - Wright, Adam
AU - Simonaitis, Linas
AU - Carpenter, James D.
AU - Allen, George O.
AU - Doebbeling, Bradley N.
AU - Sirajuddin, Anwar Mohammad
AU - Ash, Joan S.
AU - Middleton, Blackford
N1 - Funding Information:
This work was funded in part by NLM Research Grant R56-LM006942 and AHRQ Contract HHHSA29020080010 . The sponsors were not involved in the design, conduct or analysis of the study, or in the preparation of this manuscript.
PY - 2010/1
Y1 - 2010/1
N2 - Purpose: To explore the need for, and use of, high-quality, collaborative, clinical knowledge management (CKM) tools and techniques to manage clinical decision support (CDS) content. Methods: In order to better understand the current state of the art in CKM, we developed a survey of potential CKM tools and techniques. We conducted an exploratory study by querying a convenience sample of respondents about their use of specific practices in CKM. Results: The following tools and techniques should be priorities in organizations interested in developing successful computer-based provider order entry (CPOE) and CDS implementations: (1) a multidisciplinary team responsible for creating and maintaining the clinical content; (2) an external organizational repository of clinical content with web-based viewer that allows anyone in the organization to review it; (3) an online, collaborative, interactive, Internet-based tool to facilitate content development; (4) an enterprise-wide tool to maintain the controlled clinical terminology concepts. Even organizations that have been successfully using computer-based provider order entry with advanced clinical decision support features for well over 15 years are not using all of the CKM tools or practices that we identified. Conclusions: If we are to further stimulate progress in the area of clinical decision support, we must continue to develop and refine our understanding and use of advanced CKM capabilities.
AB - Purpose: To explore the need for, and use of, high-quality, collaborative, clinical knowledge management (CKM) tools and techniques to manage clinical decision support (CDS) content. Methods: In order to better understand the current state of the art in CKM, we developed a survey of potential CKM tools and techniques. We conducted an exploratory study by querying a convenience sample of respondents about their use of specific practices in CKM. Results: The following tools and techniques should be priorities in organizations interested in developing successful computer-based provider order entry (CPOE) and CDS implementations: (1) a multidisciplinary team responsible for creating and maintaining the clinical content; (2) an external organizational repository of clinical content with web-based viewer that allows anyone in the organization to review it; (3) an online, collaborative, interactive, Internet-based tool to facilitate content development; (4) an enterprise-wide tool to maintain the controlled clinical terminology concepts. Even organizations that have been successfully using computer-based provider order entry with advanced clinical decision support features for well over 15 years are not using all of the CKM tools or practices that we identified. Conclusions: If we are to further stimulate progress in the area of clinical decision support, we must continue to develop and refine our understanding and use of advanced CKM capabilities.
KW - Clinical
KW - Clinical knowledge management
KW - Decision support systems
KW - Medical informatics applications
KW - Medical order entry systems
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U2 - 10.1016/j.ijmedinf.2009.09.003
DO - 10.1016/j.ijmedinf.2009.09.003
M3 - Article
C2 - 19828364
AN - SCOPUS:72049120940
SN - 1386-5056
VL - 79
SP - 44
EP - 57
JO - International Journal of Medical Informatics
JF - International Journal of Medical Informatics
IS - 1
ER -