The last decade witnessed dramatic growth in electronic health record (EHR) adoption, from less than 10% to nearly universal, in part due to more than $30 billion of federal government spending. Until recently, EHR implementation was limited to locally developed systems at large, academic healthcare organizations, which enabled extensive customization […]
The Safety Assurance Factors for EHR Resilience (SAFER) guides were released in 2014 to help health systems conduct proactive risk assessment of electronic health record (EHR)- safety related policies, processes, procedures, and configurations. The extent to which SAFER recommendations are followed is unknown.
Clinical Informatics Literacy: 5000 Concepts That Every Informatician Should Know is about all aspects of clinical informatics, a subset of the larger field of biomedical informatics. Clinical Informatics is an applied field that exists at the intersection of the fields of medicine, computer science, information science, anthropology, human factors engineering, cognitive psychology […]
BACKGROUND: Accurate clinical problem lists are critical for patient care, clinical decision support, population reporting, quality improvement, and research. However, problem lists are often incomplete or out of date. OBJECTIVE: To determine whether a clinical alerting system, which uses inference rules to notify providers of undocumented problems, improves problem list […]
Comparative effectiveness research (CER) has the potential to transform the current health care delivery system by identifying the most effective medical and surgical treatments, diagnostic tests, disease prevention methods, and ways to deliver care for specific clinical conditions. To be successful, such research requires the identification, capture, aggregation, integration, and […]
OBJECTIVE: To identify challenges, lessons learned and best practices for service-oriented clinical decision support, based on the results of the Clinical Decision Support Consortium, a multi-site study which developed, implemented and evaluated clinical decision support services in a diverse range of electronic health records. METHODS: Ethnographic investigation using the rapid […]
OBJECTIVE: To describe the activities performed by people involved in clinical decision support (CDS) at leading sites. MATERIALS AND METHODS: We conducted ethnographic observations at seven diverse sites with a history of excellence in CDS using the Rapid Assessment Process and analyzed the data using a series of card sorts, […]