Understanding the Technical Implementation of a Clinical Decision Support SmartApp: A Qualitative Analysis

Author:

Hobensack Mollie1,Withall Jennifer1,Cato Kenrick1,Dykes Patricia23,Lowenthal Graham2,Cho Sandy4,Ivory Catherine5,Yen Po-Yin6,Rossetti Sarah17

Affiliation:

1. Columbia University School of Nursing, NY, NY, USA

2. Brigham and Women’s Hospital, Boston, MA, USA

3. Harvard Medical School, Boston, MA, USA

4. Newton-Wellesley Hospital, Newton, MA, USA

5. Vanderbilt University, Nashville, TN, USA

6. Washington University School of Medicine in Saint Louis, Saint Louis, MO, USA

7. Columbia University Department of Biomedical Informatics, NY, NY, USA

Abstract

CONCERN is a SmartApp that identifies patients at risk for deterioration. This study aimed to understand the technical components and processes that should be included in our Implementation Toolkit. In focus groups with technical experts five themes emerged: 1) implementation challenges, 2) implementation facilitators, 3) project management, 4) stakeholder engagement, and 5) security assessments. Our results may aid other teams in implementing healthcare SmartApps.

Publisher

IOS Press

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