Information Overload and the Design and Implementation of.pptVIP

Information Overload and the Design and Implementation of Computerized Decision Support Charlene R. Weir, PhD Associate Director Education and Evaluation, SLC GRECC Associate Professor Department of Biomedical Informatics University of Utah OBJECTIVES Identify concepts and causes of Information Overload in terms of computerized clinical environments. Discuss the relationship between information overload and different memory systems. Describe how to match clinical task characteristics and implementation strategies in order to minimize information overload in the clinical setting. OVERVIEW Definition of Computerized Decision Support The Goal and the Mandate Are we meeting the goal? Central Thesis The Adaptive User Memory, attention and control Recommendations The Socio-Technical Perspective Types of Decision Support Alerts Reminders Guidelines Information Displays Provider Order Entry Electronic Text/Templates ARE WE MEETING THE GOAL?Systematic Reviews - Outcomes Garg, et al.(2005) Effects of CDSS on Practitioner Performance and Patient Outcomes: . . . . . Sig improvements in practitioner performance in 64% of studies and improvements in patient outcomes for only 13%. Unable to aggregate due to significant unexplained variation Recommendations: “Important issues include CDSS user acceptance, workflow integration . . . (p. 1236) ARE WE MEETING THE GOAL?Systematic Reviews - Outcomes Kawamoto, et al (2005). Improving clinical practice using clinical decision support systems: a systematic review. Sig improvements in practitioner performance in 68%. Patient outcomes were not examined. Unable to aggregate effects due to significant unexplained variation Recommendations: “The promise of evidence based medicine will be fulfilled only when strategies for implementing best practice are rigorously evidence-based themselves.” (p. 7) ARE WE MEETING THE GOAL?Systematic Reviews - Outcomes Shekelle P. Costs and Benefits of Health Information Technology. AHRQ Publication. Sant