Evaluating Dissemination and Implementation Strategies to Develop Clinical Software

Gast'on M'arquez, C. Taramasco
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Abstract

Clinical software has become a significant contribution to support clinical management and intra-hospital processes. In this regard, the success or failure of clinical software is mostly yielded on a suitable requirements elicitation process. Although several techniques and approaches address this process, the complexity of clinical services and the variety of clinicians involved in those services make it challenging to elicit requirements. To address this concern, in our previous work, we have proposed the D&I Framework. This collaborative technique translates clinical priorities into guidelines for eliciting software requirements in the healthcare context using implementation and dissemination strategies. This article evaluates the functionalities and tasks implemented in a clinical bed management system whose requirements were elicited using the D&I Framework. We focused on evaluating clinicians’ usability expectation levels using a specific questionnaire executed in 2018 and 2020. The results show that, in comparison with the first release (2018) and the last one (2020), clinicians perceive an improvement in the functionalities and tasks implemented in the system. This study introduces the effects of implementation and dissemination strategies to elicit pragmatic clinical requirements.
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评价临床软件开发的传播与实施策略
临床软件已成为支持临床管理和医院内部流程的重要贡献。在这方面,临床软件的成败主要取决于一个合适的需求激发过程。尽管有几种技术和方法可以解决这一过程,但临床服务的复杂性和参与这些服务的临床医生的多样性使得提出需求具有挑战性。为了解决这个问题,在我们之前的工作中,我们提出了D&I框架。这种协作技术将临床优先级转换为使用实施和传播策略在医疗保健环境中引出软件需求的指导方针。本文评估了临床床位管理系统的功能和任务,该系统的需求是使用D&I框架得出的。我们专注于通过2018年和2020年执行的特定问卷评估临床医生的可用性期望水平。结果表明,与第一个版本(2018年)和最后一个版本(2020年)相比,临床医生认为系统中实现的功能和任务有所改进。本研究介绍了实施和传播策略的效果,以引出实用的临床需求。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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