title: Sociotechnical design of an electronic tool for managing transient ischemic attack in the emergency department.
abstract: This paper describes the adoption of a prototype electronic decision support tool for managing transient ischemic attack (TIA) in the Emergency Department (ED) of a health region in Canada. A clinician-driven sociotechnical design approach is used to develop, test and implement the prototype with the aim to improve TIA management in the ED. In this study, we worked closely with ED staff to: identify issues and needs in TIA management; build/test/refine prototype versions of the electronic TIA decision support tool; and explore strategies to implement the tool for routine use in the ED. A blood protein biomarker test under development will also be incorporated as part of this tool in a subsequent phase. Thus far the prototype has demonstrated the potential to improve triage, risk stratification, and disposition decisions based on historical TIA and mimic cases. A prospective multi-site clinical utility study is planned for spring of 2016.
authors: School of Health Information Science, University of Victoria, BC, Canada.
authors: Francis
authors: F
authors: Lau
authors: School of Health Information Science, University of Victoria, BC, Canada.
authors: Colin
authors: C
authors: Partridge
authors: Island Health, BC, Canada.
authors: Andrew
authors: A
authors: Penn
authors: School of Health Information Science, University of Victoria, BC, Canada.
authors: Dana
authors: D
authors: Stanley
authors: Island Health, BC, Canada.
authors: Kristine
authors: K
authors: Votova
authors: Island Health, BC, Canada.
authors: Maximilian
authors: M
authors: Bibok
authors: Provincial Health Services Authority, BC, Canada.
authors: Devin
authors: D
authors: Harris
authors: Island Health, BC, Canada.
authors: Linghong
authors: L
authors: Lu
mesh_terms: D015415:Biomarkers / Q000097:blood; D002170:Canada; D003625:Data Collection / Q000379:methods; D020000:Decision Support Systems, Clinical / Q000458:organization & administration*; D004636:Emergency Service, Hospital; D006801:Humans; D007407:Interviews as Topic; D002546:Ischemic Attack, Transient / Q000628:therapy*; D020380:Needs Assessment; D018570:Risk Assessment; D014218:Triage
chemical_list: D015415:Biomarkers