Data for: Orientation in Perpetuity: An Online Clinical Decision Support System for Surgical Residents

Materials and Methods
An internally-developed, web-based CDSS including essential, clinically useful documents was created for use by trainees on a busy pediatric surgery service. A standardized orientation was provided to each resident and fellow upon joining the service, complemented by a summary card to be attached to the trainee’s ID badge. CDSS usage was monitored using web analytics. Trainees who rotated before and after the CDSS launch were surveyed regarding attitudes toward clinical resources and confidence in patient management.
Results
Documents published to the CDSS included 33 clinical guideline documents and 207 additional educational and support files including reference materials from service orientation were made available to trainees and staff. Goals for resident usage were established by evaluation and adaptation of early traffic patterns. Analysis of web traffic collected over 14 consecutive months revealed utilization above target levels, with 4.0 average weekly page views per trainee (IQR: 1.6-5.6). A total of 60 survey responses were received (54% of trainees invited); majorities of rotating trainees and survey respondents were trainees in general surgery and most were interns. Mean composite scores reflected a trend toward improved satisfaction when seeking CDSM (pre-intervention 3.18 [SD 0.73], post-intervention 3.92 [SD 0.70], range 1-5) which was statistically significant (p=0.005). Mean scores also improved across five out of six components of the composite score (mean improvement 0.75, range: 0.53-0.92), four of which were statistically significant (p=0.001-0.038). A majority (59%) of respondents reported that they used the CDSS frequently.

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