Clinical decision support software for management of chronic heart failure: Development and evaluation

Authors:
Stephen J Leslie;Mark Hartswood;Catrin Meurig;Sinead P McKee;Roger Slack;Rob Procter;Martin A Denvir
Affiliations:
Department of Cardiology, Western General Hospital, Edinburgh EH4 2XU, UK;Department of Cardiology, Western General Hospital, Edinburgh EH4 2XU, UK;Department of Cardiology, Western General Hospital, Edinburgh EH4 2XU, UK;Department of Cardiology, Western General Hospital, Edinburgh EH4 2XU, UK;Department of Cardiology, Western General Hospital, Edinburgh EH4 2XU, UK;Department of Cardiology, Western General Hospital, Edinburgh EH4 2XU, UK;Department of Cardiology, Western General Hospital, Edinburgh EH4 2XU, UK
Venue:
Computers in Biology and Medicine
Year:
2006

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Abstract

Objective. To develop and evaluate clinical decision support software (CDSS) to aid physicians treat patients with chronic heart failure (CHF). Methods. The CDSS was developed after discussions with a multidisciplinary panel. Evaluation was performed in three stages over a 6 month period including an editorial check, one-to-one interviews with potential users and educational meetings with general practitioners (GPs), junior doctors and medical students during which the CDSS was assessed in a cross-over design against paper guidelines. Opinions of the CDSS and the computer literacy of the participants were assessed by questionnaire. Results. There were several changes to the CDSS at various stages of development and evaluation. One-to-one interviews generated extensive qualitative feedback. GPs had lower computer literacy scores than junior doctors and students (both p