Système d’aide à la décision clinique interactif: Les facteurs de réussite

The experience to date in the provision of informatics tools for clinical decision support has been promising but few succeed in being integrated into clinician’s workflows. Therefore in designing a decision support aid for primary care that can be triggered by data patterns from the electronic health record, it was decided to first undertake a detailed review of factors influencing content and implementation of such tools. This paper reports on the literature review and the consequence for the policy for knowledge management and representation to be incorporated in the prototype. Results: The literature review highlighted 4 main categories for attention: cognitive, work-flow, information quality, and interface design. Of central importance is pertinence hence triggering knowledge access must provide interpretable and useful information. It was decided to distribute the knowledge management between data pattern analysis and information sheets, the latter supporting contextual interpretation and easier knowledge maintenance compared to rule based systems. The design content of an information sheet is discussed.