“Get out of my way ICU screen!” Needs Assessment for Adapting an Established Pneumonia CDSS for an Interoperable Platform

Poster Number: P16
Presentation Time: 05:00 PM - 06:30 PM

Abstract Keywords: Clinical Decision Support, Human-computer Interaction, User-centered Design Methods
Primary Track: Applications
Programmatic Theme: Clinical Informatics

Clinical decision support systems (CDSS) improve outcomes for patients with pneumonia but are not widely used due to sub-optimal usability and siloing within EHR platforms. To adapt an existing “ePneumonia” CDSS to a SMART-on-FHIR interface, we interviewed 5 ED clinicians to identify user needs for redesign. We identified design features that conflicted with a discontinuous and fragmented workflow. CDSS for pneumonia in the ED needs to accommodate non-linear navigation while alerting deviation from guideline-recommended care.

Speaker(s):
Matthew Christensen, MD
Vanderbilt University Medical Center

Author(s):
Matthew Christensen, MD - Vanderbilt University Medical Center; Russ Beebe, BA - Vanderbilt University Medical Center; Kathryn Kuttler, PhD - Intermountain Health; Jason Carr, MD - Intermountain Medical Center; Carrie Reale, MSN, RN-BC - Vanderbilt University Medical Center; Michael Ward, MD, PhD, MBA - Vanderbilt University Medical Center; Shilo Anders, PhD - Vanderbilt University Medical Center;