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 |