Question

What are the top two barriers, from your perspective, which hinder the acceptance of CDSs across health care organizations today? How can the identified barriers be mitigated for a successful clinical implementation?

As you consider the development and maintenance of clinical knowledge management (CKM), discuss how the organization might evaluate the content’s effectiveness.

Answer 1

1 According to my perspective the two top barriers to Clinical Decision Support are

• Inadequate EHR adoption.
• Implementation challenges due to lack of clinician acceptance.

2 Clinical information systems are designed to support providers with knowledge based decisions and contains preprogrammed logic,point of care technology.CDS can support effective clinical decision making and improve clinical care.Best practices help maximize the likelihood that CDS initiatives will lead to the desired outcomes.Time,ediucation/training,systems dont all communicate perfectly with each other.Therefore some providers feels as if this as a cookbook medicine and lack of framework for sharing about the logic of the systems.The technical aspects of CDS system design and implementation poses difficulties,but they maybe less of a barrier than gaining gaining clinicians acceptance and adoption of CDS interventions.This can be changed by giving training to clinicians,modifying the CDS system to address clinicians suggestions and complaints ,and implementing a host of other strategies to improve clinicians acceptance and adoption.Hard-coded CDS interventionsdiffering vendor and homegrown EMR systems also inhibit transference from one system to another.Utlising a standard data exchange format and terminologies can promote sharing acrossEHR systems via a service-oriented approach.