Qualitative Assessment of Implementation of a Discharge Prediction Tool Using RE-AIM Framework...33rd Medical Informatics Europe Conference (MIE2023), May 22-25, 2023, Gothenburg, Sweden.

The implementation process in the routine clinical care of a new predictive tool based on machine learning algorithms has been investigated using the RE-AIM framework. Semi-structured qualitative interviews have been conducted with a broad range of clinicians to elucidate potential barriers and faci...

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Publicado en:Studies in Health Technology & Informatics Vol. 302; pp. 596 - 601
Autores principales: FINKELSTEIN, Joseph, PARVANOVA, Irena, Zhaopeng XING, Tuyet-Trinh TRUONG, DUNN, Andrew
Formato: proceedings research Journal Article
Publicado: Sage Publications Inc. 2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2023
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        atl: Qualitative Assessment of Implementation of a Discharge Prediction Tool Using RE-AIM Framework...33rd Medical Informatics Europe Conference (MIE2023), May 22-25, 2023, Gothenburg, Sweden.
      aug:
        au:
          FINKELSTEIN, Joseph
          PARVANOVA, Irena
          Zhaopeng XING
          Tuyet-Trinh TRUONG
          DUNN, Andrew
        affil: Icahn School of Medicine at Mount Sinai, New York, NY, USA
      sug:
        subj:
          Needs Assessment
          Program Implementation
          Patient Discharge
          Prediction Models
          Implementation Science
          Machine Learning
          Decision Support Systems, Clinical
          Human
          Congresses and Conferences
          Purposive Sample Methods
          Electronic Health Records
          Artificial Intelligence
          Verbal Behavior Evaluation
          Health Facility Administrators
          Thematic Analysis
          Conceptual Framework
          Sweden
      ab: The implementation process in the routine clinical care of a new predictive tool based on machine learning algorithms has been investigated using the RE-AIM framework. Semi-structured qualitative interviews have been conducted with a broad range of clinicians to elucidate potential barriers and facilitators of the implementation process across five major domains: Reach, Efficacy, Adoption, Implementation, and Maintenance. The analysis of 23 clinician interviews demonstrated a limited reach and adoption of the new tool and identified areas for improvement in implementation and maintenance. Future implementation efforts of machine learning tools should support the proactive engagement of a wide range of clinical users since the very initiation of the predictive analytics project, provide higher transparency of the underlying algorithms, employ broader onboarding of all potential users on a periodic basis, and collect feedback from clinicians on an ongoing basis.
      pubtype: Academic Journal
      doctype:
        proceedings
        research
        Journal Article
      ougenre: Article
    language: English
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