Qualitative Assessment of Implementation of a Discharge Prediction Tool Using RE-AIM Framework

Joseph Finkelstein, Irena Parvanova, Zhaopeng Xing, Tuyet Trinh Truong, Andrew Dunn

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

Abstract

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.

Original languageEnglish
Title of host publicationCaring is Sharing - Exploiting the Value in Data for Health and Innovation - Proceedings of MIE 2023
EditorsMaria Hagglund, Madeleine Blusi, Stefano Bonacina, Lina Nilsson, Inge Cort Madsen, Sylvia Pelayo, Anne Moen, Arriel Benis, Lars Lindskold, Parisis Gallos
PublisherIOS Press BV
Pages596-600
Number of pages5
ISBN (Electronic)9781643683881
DOIs
StatePublished - 18 May 2023
Event33rd Medical Informatics Europe Conference: Caring is Sharing - Exploiting the Value in Data for Health and Innovation, MIE2023 - Gothenburg, Sweden
Duration: 22 May 202325 May 2023

Publication series

NameStudies in Health Technology and Informatics
Volume302
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365

Conference

Conference33rd Medical Informatics Europe Conference: Caring is Sharing - Exploiting the Value in Data for Health and Innovation, MIE2023
Country/TerritorySweden
CityGothenburg
Period22/05/2325/05/23

Keywords

  • Clinical decision support
  • implementation science
  • machine learning

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