title: Multiple perspectives on the meaning of clinical decision support.
abstract: Clinical Decision Support (CDS) is viewed as a means to improve safety and efficiency in health care. Yet the lack of a consensus around what is meant by CDS represents a barrier to effective design, use, and utilization of CDS tools. We conducted a multi-site qualitative inquiry to understand how different people define and describe CDS. Using subjects' multiple perspectives we were able to gain new insights as to what stakeholders want CDS to achieve and how to achieve it; even at times when those perspectives are competing and conflicting.
authors.affiliation: Oregon Health & Science University, Portland, OR;
authors.forename: Joshua E
authors.initials: JE
authors.lastname: Richardson
authors.forename: Joan S
authors.initials: JS
authors.lastname: Ash
authors.forename: Dean F
authors.initials: DF
authors.lastname: Sittig
authors.forename: Arwen
authors.initials: A
authors.lastname: Bunce
authors.forename: James
authors.initials: J
authors.lastname: Carpenter
authors.forename: Richard H
authors.initials: RH
authors.lastname: Dykstra
authors.forename: Ken
authors.initials: K
authors.lastname: Guappone
authors.forename: Carmit K
authors.initials: CK
authors.lastname: McMullen
authors.forename: Michael
authors.initials: M
authors.lastname: Shapiro
authors.forename: Adam
authors.initials: A
authors.lastname: Wright
mesh_terms: D020000:Decision Support Systems, Clinical; D057286:Electronic Health Records; D006801:Humans; D036301:Qualitative Research