Assessing health care setting readiness for point of care computerized clinical decision support system innovations.
Increasing interest in linking high-quality and cost-effective clinical practice processes to patient outcomes has enhanced interest in computerizing clinical practice guidelines to support clinician decision making. This article describes a Clinical Information Technology Innovation Model (CITIM) that was used to assess health care setting readiness for a clinical decision support system (CDSS) to decrease innovation risk and enhance the potential for innovation success. A case illustration shows CITIM application in the assessment of a hospital's readiness for a computerized knowledge-based system to support RN acute pain management decision making with patients who had coronary artery bypass graft surgery.
Snyder-Halpern
R
R
College of Nursing, University of Utah, Salt Lake City 84112-5880, USA.
D001026:Coronary Artery Bypass / Q000451:nursing; D003658:Decision Making, Computer-Assisted; D003661:Decision Support Techniques; D004059:Diffusion of Innovation; D006272:Health Facility Environment / Q000592:standards*; D006801:Humans; D017146:Models, Organizational; D020380:Needs Assessment / Q000458:organization & administration*; D009741:Nursing Staff, Hospital / Q000592:standards; D017063:Outcome Assessment, Health Care / Q000458:organization & administration*; D010149:Postoperative Pain / Q000188:drug therapy / Q000451:nursing; D019095:Point-of-Care Systems / Q000458:organization & administration*; D017410:Practice Guidelines as Topic