Changing course to make clinical decision support work in an HIV clinic in Kenya

  title={Changing course to make clinical decision support work in an HIV clinic in Kenya},
  author={Sheraz F. Noormohammad and Burke W. Mamlin and Paul G. Biondich and Brian McKown and Sylvester N. Kimaiyo and Martin C. Were},
  journal={International journal of medical informatics},
  volume={79 3},
PURPOSE We implemented computer-based reminders for CD4 count tests at an HIV clinic in Western Kenya though an open-source Electronic Medical Record System. Within a month, providers had stopped complying with the reminders. METHODS We used a multi-method qualitative approach to determine reasons for failure to adhere to the reminders, and took multiple corrective actions to remedy the situation. RESULTS Major reasons for failure of the reminder system included: not considering delayed… CONTINUE READING
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