Abstract：
BACKGROUND:Cognitive aids are increasingly recommended in clinical practice, yet little is known about the attitudes of physicians towards these tools. METHODS:We employed a qualitative, descriptive design to explore physician attitudes towards cognitive aids in pediatric intensive care units (PICUs). Semi-structured interviews elicited the opinions of a convenience sample of practicing PICU physicians towards the use of cognitive aids. We analyzed interview data for thematic content to examine the three factors of intention to use cognitive aids as defined by the Theory of Planned Behavior (TPB), attitudes, social norms, and perceived control. RESULTS:Analysis of 14 interviews suggested that in the PICU setting, cognitive aids are widely used. Discovered themes related to their use touched on all three TPB factors of intention and included: aids are perceived to improve team communication; aids may improve patient safety; aids may hinder clinician judgment; physicians may resist implementation if it occurs prior to demonstration of benefit; effective adoption requires cognitive aids to be integrated into local workplace culture; and implementation should take physician concerns into account. CONCLUSIONS:Our sample of PICU physicians were open to cognitive aids in their practice, as long as such aids preserve the primacy of clinical judgment, focus on team communication, demonstrate effectiveness through preliminary testing, and are designed and implemented with the local culture and work environment in mind. Future knowledge translation efforts to implement cognitive aids would benefit from consideration of these issues.
journal_name
BMC Med Inform Decis Makjournal_title
BMC medical informatics and decision makingauthors
Weiss MJ,Kramer C,Tremblay S,Côté Ldoi
10.1186/s12911-016-0291-6subject
Has Abstractpub_date
2016-05-21 00:00:00pages
53issn
1472-6947pii
10.1186/s12911-016-0291-6journal_volume
16pub_type
杂志文章abstract：BACKGROUND:The District Health Information Software-2 (DHIS2) is widely used by countries for national-level aggregate reporting of health-data. To best leverage DHIS2 data for decision-making, countries need to ensure that data within their systems are of the highest quality. Comprehensive, systematic, and transparent...
journal_title：BMC medical informatics and decision making
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journal_title：BMC medical informatics and decision making
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abstract：BACKGROUND:The TISS standard is a set of mandatory forms and electronic messages for healthcare authorization and claim submissions among healthcare plans and providers in Brazil. It is not based on formal models as the new generation of health informatics standards suggests. The objective of this paper is to model the...
journal_title：BMC medical informatics and decision making
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更新日期：2011-10-12 00:00:00
abstract：BACKGROUND:Diagnosis of neuromuscular diseases in primary care is often challenging. Rare diseases such as Pompe disease are easily overlooked by the general practitioner. We therefore aimed to develop a diagnostic support tool using patient-oriented questions and combined data mining algorithms recognizing answer patt...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章,多中心研究
doi：10.1186/s12911-016-0268-5
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journal_title：BMC medical informatics and decision making
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doi：10.1186/s12911-017-0460-2
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journal_title：BMC medical informatics and decision making
pub_type： 杂志文章,已发布勘误
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journal_title：BMC medical informatics and decision making
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doi：10.1186/s12911-017-0499-0
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doi：10.1186/1472-6947-13-129
更新日期：2013-11-27 00:00:00
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pub_type： 临床试验,杂志文章
doi：10.1186/s12911-016-0383-3
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doi：10.1186/s12911-018-0731-6
更新日期：2019-01-08 00:00:00
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doi：10.1186/s12911-019-0998-2
更新日期：2019-12-10 00:00:00
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pub_type： 杂志文章
doi：10.1186/1472-6947-12-123
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doi：10.1186/s12911-015-0151-9
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journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
doi：10.1186/1472-6947-3-9
更新日期：2003-07-08 00:00:00
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doi：10.1186/1472-6947-11-69
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doi：10.1186/s12911-015-0175-1
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journal_title：BMC medical informatics and decision making
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journal_title：BMC medical informatics and decision making
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journal_title：BMC medical informatics and decision making
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journal_title：BMC medical informatics and decision making
pub_type： 杂志文章
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abstract：BACKGROUND:Effective use of a patient decision aid (PtDA) can be affected by the user's health literacy and the PtDA's characteristics. Systematic reviews of the relevant literature can guide PtDA developers to attend to the health literacy needs of patients. The reviews reported here aimed to assess: METHODS:We revie...
journal_title：BMC medical informatics and decision making
pub_type： 杂志文章,评审
doi：10.1186/1472-6947-13-S2-S10
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