When you come to a fork in the road, take it: strategy selection in order entry.

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  • Author(s): Horsky J;Horsky J; Kaufman DR; Patel VL
  • Source:
    AMIA ... Annual Symposium proceedings. AMIA Symposium [AMIA Annu Symp Proc] 2005, pp. 350-4.
  • Publication Type:
    Journal Article; Research Support, N.I.H., Extramural
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: American Medical Informatics Association Country of Publication: United States NLM ID: 101209213 Publication Model: Print Cited Medium: Internet ISSN: 1942-597X (Electronic) Linking ISSN: 15594076 NLM ISO Abbreviation: AMIA Annu Symp Proc Subsets: MEDLINE
    • Publication Information:
      Original Publication: Bethesda, MD : American Medical Informatics Association, c2003-
    • Subject Terms:
      Decision Making* ; Decision Support Systems, Clinical* ; Medical Order Entry Systems*; Anticoagulants/administration & dosage ; Cognition ; Decision Making, Computer-Assisted ; Heparin/administration & dosage ; Humans ; Injections, Intravenous ; Internal Medicine ; Internship and Residency ; User-Computer Interface
    • Abstract:
      This study investigates how CPOE system users choose data input strategies for entering clinical orders. Complex systems often allow more than one way to complete a task. However, the appropriate entry strategy in the context of a specific clinical workflow situation may not be apparent to users. We have conducted a cognitive analysis of user interaction strategies for entering IV injection orders using a commercial CPOE system. We characterized the set of available information resources in the system interface and in the users' memory, and evaluated how effectively the application supported decision-making processes. Seven internal medicine residents participated in an experiment entering IV heparin orders to manage anticoagulation therapy. The analysis showed that efficiency was contingent upon high level of procedural and conceptual system knowledge. CPOE interface design needs to conform to decision-making and workflow processes if the technology is to become an effective clinical tool.
    • References:
      J Am Med Inform Assoc. 2000 Nov-Dec;7(6):569-85. (PMID: 11062231)
      J Biomed Inform. 2003 Feb-Apr;36(1-2):4-22. (PMID: 14552843)
      AMIA Annu Symp Proc. 2003;:294-8. (PMID: 14728181)
      JAMA. 2005 Mar 9;293(10):1197-203. (PMID: 15755942)
      Stud Health Technol Inform. 2004;107(Pt 2):1063-7. (PMID: 15360975)
      JAMA. 1998 Oct 21;280(15):1311-6. (PMID: 9794308)
      J Am Med Inform Assoc. 2004 Mar-Apr;11(2):95-9. (PMID: 14633935)
    • Grant Information:
      T15 LM007079 United States LM NLM NIH HHS; LM07079-09 United States LM NLM NIH HHS
    • Accession Number:
      0 (Anticoagulants)
      9005-49-6 (Heparin)
    • Publication Date:
      Date Created: 20060617 Date Completed: 20070215 Latest Revision: 20181113
    • Publication Date:
      20240829
    • Accession Number:
      PMC1560568
    • Accession Number:
      16779060