Please use this identifier to cite or link to this item:
http://ir.mu.ac.ke:8080/jspui/handle/123456789/302
Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Sheraz F., Noormohammada | - |
dc.contributor.author | Burke W., Mamlin | - |
dc.contributor.author | Paul G., Biondich | - |
dc.contributor.author | Brian, McKown | - |
dc.contributor.author | Sylvester N., Kimaiyo | - |
dc.contributor.author | Martin C., Were | - |
dc.date.accessioned | 2017-12-06T12:25:24Z | - |
dc.date.available | 2017-12-06T12:25:24Z | - |
dc.date.issued | 2010-01-04 | - |
dc.identifier.issn | http://ir.mu.ac.ke:8080/xmlui/handle/123456789/302 | - |
dc.identifier.uri | http://ir.mu.ac.ke:8080/xmlui/handle/123456789/302 | - |
dc.description.abstract | Purpose:We implemented computer-based reminders for CD4 count tests at an HIV clinic in Western Kenya though an open-source Electronic Medical Record System.Within a month, providers had stopped complying with the reminders. Methods: We used a multi-method qualitative approach to determine reasons for failure to adhere to the reminders, and took multiple corrective actions to remedy the situation. Results: Major reasons for failure of the reminder system included: not considering delayed data entry and pending test results; relying on wrong data inadvertently entered into the system; inadequate training of providers who would sometimes disagree with the reminder suggestions; and resource issues making generation of reminders unreliable.With appropriate corrective actions, the reminder system has now been functional for over eight months. Conclusion: Implementing clinical decision support in resource-limited settings is challenging. Understanding and correcting root causes of problems related to reminders will facilitate successful implementation of the decision support systems in these settings | en_US |
dc.language.iso | en_US | en_US |
dc.publisher | Elservier | en_US |
dc.subject | Electronic medical record | en_US |
dc.subject | Clinical decision support | en_US |
dc.subject | Developing countries | en_US |
dc.subject | Technology adoption | en_US |
dc.title | Changing course to make clinical decision support work in an HIV clinic in Kenya | en_US |
dc.type | Article | en_US |
Appears in Collections: | School of Medicine |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
mamlin.pdf | 337.74 kB | Adobe PDF | View/Open |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.