Barriers and facilitators to the use of computer-based intensive insulin therapy

  title={Barriers and facilitators to the use of computer-based intensive insulin therapy},
  author={Thomas R. Campion and Lemuel R. Waitman and Nancy M. Lorenzi and Addison K. May and Cynthia S. Gadd},
  journal={International journal of medical informatics},
  volume={80 12},
PURPOSE Computerized clinical decision support systems (CDSSs) for intensive insulin therapy (IIT) are increasingly common. However, recent studies question IIT's safety and mortality benefit. Researchers have identified factors influencing IIT performance, but little is known about how workflow affects computer-based IIT. We used ethnographic methods to evaluate IIT CDSS with respect to other clinical information systems and care processes. METHODS We conducted direct observation of and… CONTINUE READING
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