title: Evaluation of a decision support system for pressure ulcer prevention and management: preliminary findings.
abstract: A decision support system for prevention and management of pressure ulcers was developed based on AHCPR guidelines and other sources. The system was implemented for 21 weeks on a 20-bed clinical care unit. Fifteen nurses on that unit volunteered as subjects of the intervention to see whether use of the system would have a positive effect on their knowledge about pressure ulcers and on their decision-making skills related to this topic. A similar care unit was used as a control. In addition, the system was evaluated by experts for its instructional adequacy, and by end users for their satisfaction with the system. Preliminary results show no effect on knowledge about pressure ulcers and no effect on clinical decision making skills. The system was rated positively for instructional adequacy, and positively for user satisfaction. User interviews related to satisfaction supplemented the quantitative findings. A discussion of the issues of conducting experiments like this in today's clinical environment is included.
authors.affiliation: Laboratory of Computer Science, Massachusetts General Hospital, Boston 02114, USA.
authors.forename: R D
authors.initials: RD
authors.lastname: Zielstorff
authors.forename: G
authors.initials: G
authors.lastname: Estey
authors.forename: A
authors.initials: A
authors.lastname: Vickery
authors.forename: G
authors.initials: G
authors.lastname: Hamilton
authors.forename: J B
authors.initials: JB
authors.lastname: Fitzmaurice
authors.forename: G O
authors.initials: GO
authors.lastname: Barnett
mesh_terms: D003198:Computer Simulation; D003258:Consumer Behavior; D020000:Decision Support Systems, Clinical; D005069:Evaluation Studies as Topic; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D009741:Nursing Staff, Hospital; D003668:Pressure Ulcer / Q000517:prevention & control / Q000628:therapy*; D013813:Therapy, Computer-Assisted