Towards ubiquitous peer review strategies to sustain and enhance a clinical knowledge management framework

Abstract

Widespread cooperation between domain experts and front-line clinicians is a key component of any successful clinical knowledge management framework. Peer review is an established form of cooperation that promotes the dissemination of new knowledge. The authors describe three peer collaboration scenarios that have been implemented using the knowledge management infrastructure available at Intermountain Healthcare. Utilization results illustrating the early adoption patterns of the proposed scenarios are presented and discussed, along with succinct descriptions of planned enhancements and future implementation efforts.

Figure 1

KRO search results screen, demonstrating the options to create a review (“A”), to read existing reviews (“B”), and to view the metadata (“C”).

Figure 2

Examples of review forms created for different asset categories and/or collections: structured form with default answers (“A”), semi-structured form with only headers (“B”), and simple form with a single generic text area (“C”).

Figure 3

Examples of reviews created for different knowledge assets. Notice that the identity of the reviewer is not displayed (“Reviewer 1”).

Figure 4

Examples of the “K-Button” within a clinical information system (“A” – HELP2 System, orders module) and an intranet application (“B” – Collaborative Practice Guidelines viewer).

Figure 5

Information about the knowledge asset (metadata). A button on the top (“A”) enables the user to subscribe or unsubscribe to automated notifications. The email hyperlink (“B”) can be used to send an email to the author (custodian).

Figure 6

Example of a notification explaining that a new version of the asset “DKA Problem” was released. The first hyperlink (“A”) can be used to view the asset and the second hyperlink (“B”) can be used to submit a review.