@article{ref1,
title="Dissemination of child abuse clinical decision support: moving beyond a single electronic health record",
journal="International journal of medical informatics",
year="2020",
author="McGinn, Thomas and Feldstein, David A. and Barata, Isabel and Heineman, Emily and Ross, Joshua and Kaplan, Dana and Richardson, Safiya and Knox, Barbara and Palm, Amanda and Bullaro, Francesca and Kuehnel, Nicholas and Park, Linda and Khan, Sundas and Eithun, Benjamin and Berger, Rachel P.",
volume="147",
number="",
pages="e104349-e104349",
abstract="BACKGROUND: Child maltreatment is a leading cause of pediatric morbidity and  mortality. We previously reported on development and implementation of a child abuse  clinical decision support system (CA-CDSS) in the Cerner electronic health record  (EHR). Our objective was to develop a CA-CDSS in two different EHRs. <br><br>METHODS: Using  the CA-CDSS in Cerner as a template, CA-CDSSs were developed for use in four  hospitals in the Northwell Health system who use Allscripts and two hospitals in the  University of Wisconsin health system who use Epic. Each system had a combination of  triggers, alerts and child abuse-specific order sets. Usability evaluation was done  prior to launch of the CA-CDSS. <br><br>RESULTS: Over an 18-month period, a CA-CDSS was  embedded into Epic and Allscripts at two hospital systems. The CA-CDSSs vary  significantly from each other in terms of the type of triggers which were able to be  used, the type of alert, the ability of the alert to link directly to child  abuse-specific order sets and the order sets themselves. <br><br>CONCLUSIONS: Dissemination  of CA-CDSS from one EHR into the EHR in other health care systems is possible but  time-consuming and needs to be adapted to the strengths and limitations of the  specific EHR. Site-specific usability evaluation, buy-in of multiple stakeholder  groups and significant information technology support are needed. These barriers  limit scalability and widespread dissemination of CA-CDSS.<p /> <p>Language: en</p>",
language="en",
issn="1386-5056",
doi="10.1016/j.ijmedinf.2020.104349",
url="http://dx.doi.org/10.1016/j.ijmedinf.2020.104349"
}