Medical College of Wisconsin
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Information Needs and Requirements for Decision Support in Primary Care: An Analysis of Chronic Pain Care. AMIA Annu Symp Proc 2018;2018:527-534

Date

03/01/2019

Pubmed ID

30815093

Pubmed Central ID

PMC6371256

Scopus ID

2-s2.0-85062377514 (requires institutional sign-in at Scopus site)   14 Citations

Abstract

Decision support system designs often do not align with the information environments in which clinicians work. These work environments may increase Clinicians' cognitive workload and harm their decision making. The objective of this study was to identify information needs and decision support requirements for assessing, diagnosing, and treating chronic noncancer pain in primary care. We conducted a qualitative study involving 30 interviews with 10 primary care clinicians and a subsequent multidisciplinary systems design workshop. Our analysis identified four key decision requirements, eight clinical information needs, and four decision support design seeds. Our findings indicate that clinicians caring for chronic pain need decision support that aggregates many disparate information elements and helps them navigate and contextualize that information. By attending to the needs identified in this study, decision support designers may improve Clinicians' efficiency, reduce mental workload, and positively affect patient care quality and outcomes.

Author List

Harle CA, Apathy NC, Cook RL, Danielson EC, DiIulio J, Downs SM, Hurley RW, Mamlin BW, Militello LG, Anders S

Author

Robert W. Hurley MD, PhD Adjunct Professor of Anesthesiology and CTSI in the Anesthesiology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Chronic Pain
Decision Making
Decision Support Systems, Clinical
Decision Support Techniques
Humans
Primary Health Care
Qualitative Research
Quality of Health Care