![]() Accordingly, this study aims to assess the efficiency, provider decision-making accuracy, ease of use, and usefulness of a proof-of-concept, point-of-care, preventive care CDSS. With over 85% of Canadian physicians using EMRs in their clinical practice it is therefore prudent to develop better EMR point-of-care tools that facilitate preventive care service deliver while not contributing to alert fatigue or task switching and improving efficiency. However, another report suggests negligible impacts on clinician working time and instead frequent task switching may be a major contributor toward perceptions of inefficiency and disruption. Burnout may arise from low professional satisfaction caused by poor EMR usability, workflows, and interrupted patient-physician interactions. Yet, recent time motion studies have shown that EMR use consumes significant amounts of clinical time, detracting from patient interaction and higher EMR use is correlated with physician burnout. These purported benefits are especially important for preventive care services since primary care providers do not have sufficient time to complete all recommended services. ![]() As well, only 3–10% of providers use these advanced EMR features, which further limits the potential benefits of EMR use on preventive care service delivery. However, many providers override and ignore alerts due to “alert fatigue” where high volumes of irrelevant alerts limit usefulness. EMRs can make relevant patient data readily available to estimate disease risk and improve preventive care service delivery through alerts that identify patients due for screening. Ĭanada Health Infoway-a federally funded non-profit aiming to digitally transform Canada’s health care system-has demonstrated that EMR use improves workflow efficiencies, cost efficiencies, health outcomes, patient safety, and interprofessional communication over paper records. Organized preventive care occurs locally within primary care practices via dedicated preventive care visits or regionally/nationally through outreach to individuals, like Cancer Care Ontario’s mailed cancer screening letters. Opportunistic preventive care occurs as an add-on when patients present for non-preventive care services. Many Canadian primary care physicians perform preventive care services through opportunistic or organized approaches. In Canada, preventive care services are largely delivered by primary care providers, focusing on screening and counselling on lifestyle risk factors, infectious diseases, metabolic disorders, immunizations, and cancer. Preventive care services effectively reduce morbidity, mortality, and overall health care expenditures. Further software development and clinical studies are required to further improve and characterize the effect this new CDSS has when implemented in clinical practice. Participants indicated that the preventive care CDSS was useful and easy to use. ![]() New digital tools may reduce providers’ workload without impacting clinical decision-making accuracy. Participants rated the perceived ease of use and usefulness to be very high. The preventive care CDSS saved an average of 195.7 s of chart review time (249.5 s vs 445.2 s P 0.05). The number of preventive care specific visits completed per year was determined using clinic billing data. The amount of time saved was determined and participants’ clinical decision-making accuracy was scored against current Canadian preventive care guidelines. Participants then completed a Technology Acceptance Model survey regarding the perceived usefulness and ease of use of the CDSS, which included qualitative feedback. The participants recorded their decisions and the time required to assess each chart. Each participant evaluated two simulated patient charts and identified which preventive care metrics were due. Quantitative and qualitative data were collected during this study. This study also assessed physician reported perceived usefulness and ease of use of the CDSS. An estimate of the potential annual time savings was also determined. The objective of this study was to assess the efficiency and accuracy of clinical decision-making when using a new preventive care point-of-care clinical decision support system (CDSS). Therefore, new and innovative digital tools are essential to reduce physician workloads and improve patient-physician interaction to address physician burnout. However, recent reports indicate that physicians using electronic medical records work longer and have less direct patient contact which may contribute to burnout. Electronic medical records are widely used in family practices across Canada and can improve health outcomes.
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