The state of the art in clinical knowledge management: an inventory of tools and techniques

PURPOSE:

To explore the need for, and use of, high-quality, collaborative, clinical knowledge management (CKM) tools and techniques to manage clinical decision support (CDS) content.

METHODS:

In order to better understand the current state of the art in CKM, we developed a survey of potential CKM tools and techniques. We conducted an exploratory study by querying a convenience sample of respondents about their use of specific practices in CKM.

RESULTS:

The following tools and techniques should be priorities in organizations interested in developing successful computer-based provider order entry (CPOE) and CDS implementations: (1) a multidisciplinary team responsible for creating and maintaining the clinical content; (2) an external organizational repository of clinical content with web-based viewer that allows anyone in the organization to review it; (3) an online, collaborative, interactive, Internet-based tool to facilitate content development; (4) an enterprise-wide tool to maintain the controlled clinical terminology concepts. Even organizations that have been successfully using computer-based provider order entry with advanced clinical decision support features for well over 15 years are not using all of the CKM tools or practices that we identified.

CONCLUSIONS:

If we are to further stimulate progress in the area of clinical decision support, we must continue to develop and refine our understanding and use of advanced CKM capabilities.

Citation: Sittig DF, Wright A, Simonaitis L, Carpenter J, Allen G, Doebbeling Brad, Sirajuddin A, Ash J, Middleton B. The state of the art in clinical knowledge management: an inventory of tools and techniques. Int J Med Inform 2010 Jan;29(1):44-57.

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