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Description

We have shown for a nursing workflow at an ambulatory federally qualified community health center that context aware Clinical Decision Support (CA-CDS) is more effective and sustainable in depression screening and more effective with minimal training in falls risk screening when compared to traditional pop-up interruptive alerts. In this study, using the NASA workload scale, we compared cognitive workload of two different clinical decision support techniques in a depression screening workflow. We theorized that context sensitive workflow will require lower workload and shorter period of time to complete that traditional alert based decision support. For this study we designed a mock workflow observation with subsequent survey and time study. 16 Staff Members were surveyed, 5 surveys each for a total of 80 surveys. Our context aware clinical decision support, despite producing improved screening rates in our population, did not seem to have a measurable workload difference. Additionally it does not appear result in faster task completion than traditional CDS. Inversely it neither increased task time nor workload in order to achieve our higher screening rates.

Describe the new knowledge and additional skills the participant will gain after attending your presentation.: Attendee will have increased knowledge of characteristics of Clincial Decision Support and Quality Improvement Techniques

Authors:

Matt Rafalski (Presenter)
Heart of Texas Community Health Center

John Gill, Heart of Texas Community Health Center

Presentation Materials:

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