title: The process of development of a prioritization tool for a clinical decision support build within a computerized provider order entry system: Experiences from St Luke's Health System.
abstract: To establish a process for the development of a prioritization tool for a clinical decision support build within a computerized provider order entry system and concurrently to prioritize alerts for Saint Luke's Health System. The process of prioritizing clinical decision support alerts included (a) consensus sessions to establish a prioritization process and identify clinical decision support alerts through a modified Delphi process and (b) a clinical decision support survey to validate the results. All members of our health system's physician quality organization, Saint Luke's Care as well as clinicians, administrators, and pharmacy staff throughout Saint Luke's Health System, were invited to participate in this confidential survey. The consensus sessions yielded a prioritization process through alert contextualization and associated Likert-type scales. Utilizing this process, the clinical decision support survey polled the opinions of 850 clinicians with a 64.7 percent response rate. Three of the top rated alerts were approved for the pre-implementation build at Saint Luke's Health System: Acute Myocardial Infarction Core Measure Sets, Deep Vein Thrombosis Prophylaxis within 4 h, and Criteria for Sepsis. This study establishes a process for developing a prioritization tool for a clinical decision support build within a computerized provider order entry system that may be applicable to similar institutions.
authors: Abbott Northwestern Hospital, USA.
authors: Matthew
authors: M
authors: Wolf
authors: University of Missouri-Kansas City, USA millersm@umkc.edu.
authors: Suzanne
authors: S
authors: Miller
authors: Mission Health System, USA.
authors: Doug
authors: D
authors: DeJong
authors: Saint Luke's Hospital, USA.
authors: John A
authors: JA
authors: House
authors: Saint Luke's Hospital, USA.
authors: Carl
authors: C
authors: Dirks
authors: Saint Luke's Hospital, USA.
authors: Brent
authors: B
authors: Beasley
mesh_terms: D020000:Decision Support Systems, Clinical / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D050316:Medical Order Entry Systems / Q000458:organization & administration*; D010348:Patient Care Team; D016730:Program Development / Q000379:methods*; D011785:Quality Assurance, Health Care / Q000379:methods; D011795:Surveys and Questionnaires
keywords: clinical decision support; computerized provider order entry