Clinical Decision Support

Lessons learned from implementing service-oriented clinical decision support at four sites: A qualitative study

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 […]

Improving Outcomes with Clinical Decision Support: An Implementer’s Guide, 2cd Edition

Improving Outcomes with Clinical Decision Support: An Implementer’s Guide, 2cd Edition Co-published by HIMSS, the Scottsdale Institute, AMIA, AMDIS and SHM, this second edition of the authoritative guide to CDS implementation has been substantially enhanced with expanded and updated guidance on using CDS interventions to improve care delivery and outcomes. […]

Cross-vendor evaluation of key user-defined clinical decision support capabilities: A scenario-based assessment of certified electronic health records with guidelines for future development

Objective Clinical decision support (CDS) is essential for delivery of high-quality, cost-effective, and safe healthcare. The authors sought to evaluate the CDS capabilities across electronic health record (EHR) systems. Methods We evaluated the CDS implementation capabilities of 8 Office of the National Coordinator for Health Information Technology Authorized Certification Body […]

Clinical Decision Support for Colon and Rectal Surgery: An Overview

Clinical decision support (CDS) has been shown to improve clinical processes, promote patient safety, and reduce costs in healthcare settings, and it is now a requirement for clinicians as part of the Meaningful Use Regulation. However, most evidence for CDS has been evaluated primarily in internal medicine care settings, and […]

Key principles for a national clinical decision support knowledge sharing framework: synthesis of insights from leading subject matter experts

OBJECTIVE: To identify key principles for establishing a national clinical decision support (CDS) knowledge sharing framework. MATERIALS AND METHODS: As part of an initiative by the US Office of the National Coordinator for Health IT (ONC) to establish a framework for national CDS knowledge sharing, key stakeholders were identified. Stakeholders’ […]

Use of order sets in inpatient computerized provider order entry systems: a comparative analysis of usage patterns at seven sites

BACKGROUND: Many computerized provider order entry (CPOE) systems include the ability to create electronic order sets: collections of clinically related orders grouped by purpose. Order sets promise to make CPOE systems more efficient, improve care quality and increase adherence to evidence-based guidelines. However, the development and implementation of order sets […]

Development and evaluation of a comprehensive clinical decision support taxonomy: comparison of front-end tools in commercial and internally-developed electronic health record systems

BACKGROUND: Clinical decision support (CDS) is a valuable tool for improving healthcare quality and lowering costs. However, there is no comprehensive taxonomy of types of CDS and there has been limited research on the availability of various CDS tools across current electronic health record (EHR) systems. OBJECTIVE: To develop and […]