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Translating research into practice: organizational issues in implementing automated decision support for hypertension in three medical centers

Journal Article
20758 small journal of the american medical informatics association (JAMIA)

Information technology can support the implementation of clinical research findings in practice settings. Technology can address the quality gap in health care by providing automated decision support to clinicians that integrates guideline knowledge with electronic patient data to present real-time, patient-specific recommendations. However, technical success in implementing decision support systems may not translate directly into system use by clinicians. Successful technology integration into clinical work settings requires explicit attention to the organizational context. We describe the application of a "sociotechnical" approach to integration of ATHENA DSS, a decision support system for the treatment of hypertension, into geographically dispersed primary care clinics. We applied an iterative technical design in response to organizational input and obtained ongoing endorsements of the project by the organization's administrative and clinical leadership. Conscious attention to organizational context at the time of development, deployment, and maintenance of the system was associated with extensive clinician use of the system.

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This material was originally published in the Journal of the American Medical Informatics Association (Volume 11; 368-376). This material may be read on-line or downloaded for personal use only. The material may be referenced by appropriate hyperlinks. However, the text of the material may not be altered without the express permission of the author and AMIA. Care should be taken when excerpting or referencing text to ensure that the views, opinions, and arguments of the author presented in the excerpt accurately reflect those contained in the original work.

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