ArticleJournal of the American Medical Informatics Association : JAMIA2019
Development and dissemination of clinical decision support across institutions: standardization and sharing of refugee health screening modules.
Article in Journal of the American Medical Informatics Association : JAMIA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
8 citing papers in PubMed.
- Improving adherence to CDC public health guidance for screening newly arrived refugee children through clinical decision support implementation: a primary care-based quality improvement study.BMJ open quality · 2025Article
- Sharing a Hybrid Electronic Health Record + Fast Healthcare Interoperability Resources Clinical Decision Support across Health Systems: Automating Smoking Cessation for Pediatric Caregivers.Applied clinical informatics · 2025Article
- The role of organizational culture in health information technology implementations: A scoping review.Learning health systems · 2022Article
- Coordinated use of Health Level 7 standards to support clinical decision support: Case study with shared decision making and drug-drug interactions.International journal of medical informatics · 2022Article
- GARDE: a standards-based clinical decision support platform for identifying population health management cohorts.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Translating an evidence-based clinical pathway into shareable CDS: developing a systematic process using publicly available tools.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- To Share is Human! Advancing Evidence into Practice through a National Repository of Interoperable Clinical Decision Support.Applied clinical informatics · 2020Article
- Increasing Recommended Care for Immigrant Children in an Ambulatory Care Network.Pediatric quality & safetyArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectivesWe developed and piloted a process for sharing guideline-based clinical decision support (CDS) across institutions, using health screening of newly arrived refugees as a case example. MATERIALS AND
methodsWe developed CDS to support care of newly arrived refugees through a systematic process including a needs assessment, a 2-phase cognitive task analysis, structured preimplementation testing, local implementation, and staged dissemination. We sought consensus from prospective users on CDS scope, applicable content, basic supported workflows, and final structure. We documented processes and developed sharable artifacts from each phase of development. We publically shared CDS artifacts through online dissemination platforms. We collected feedback and implementation data from implementation sites.
resultsResponses from 19 organizations demonstrated a need for improved CDS for newly arrived refugee patients. A guided multicenter workflow analysis identified 2 main workflows used by organizations that would need to be supported by shared CDS. We developed CDS through an iterative design process, which was successfully disseminated to other sites using online dissemination repositories. Implementation sites had a small-to-modest analyst time commitment but reported a good match between CDS and workflow.
conclusionSharing of CDS requires overcoming technical and workflow barriers. We used a guided multicenter workflow analysis and online dissemination repositories to create flexible CDS that has been adapted at 3 sites. Organizations looking to develop sharable CDS should consider evaluating the workflows of multiple institutions and collecting feedback on scope, design, and content in order to make a more generalizable product.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.