Contingency planning for electronic health record-based care continuity: a survey of recommended practices
Unexpected downtimes related to EHRs appear to be fairly common among institutions in our survey.
Surveys
Clinical decision support alert malfunctions: analysis and empirically derived taxonomy
CDS alert malfunctions are frequent. The empirically derived taxonomy formalizes the common recurring issues that cause these malfunctions, helping CDS developers anticipate and prevent CDS malfunctions before they occur or detect and resolve them expediently.
Analysis of clinical decision support system malfunctions: a case series and survey
We identified and investigated several CDSS malfunctions at Brigham and Women’s Hospital and present them as a case series. We also conducted a preliminary survey of Chief Medical Information Officers to assess the frequency of such malfunctions.
A survey of informatics platforms that enable distributed comparative effectiveness research using multi-institutional heterogenous clinical data
The goal of this manuscript is to help investigators understand why informatics platforms are required and to compare and contrast six, large-scale, recently funded, CER-focused informatics platform development efforts. We identified six generic steps that are necessary in any distributed, multi-institutional CER project: data identification, extraction, modeling, aggregation, analysis, and dissemination.
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 […]
Governance for clinical decision support: Case studies and recommended practices from leading institutions
Six recommended practices were identified in the area of governance, and four were identified in the area of content management. Key similarities and differences between the organizations studied were also highlighted.
Comparison of clinical knowledge management capabilities of commercially-available and leading internally-developed electronic health records
BACKGROUND: We have carried out an extensive qualitative research program focused on the barriers and facilitators to successful adoption and use of various features of advanced, state-of-the-art electronic health records (EHRs) within large, academic, teaching facilities with long-standing EHR research and development programs. We have recently begun investigating smaller, community […]
The state of the art in clinical knowledge management: an inventory of tools and techniques
PURPOSE: To explore the need for, and use of, high-quality, collaborative, clinical knowledge management (CKM) tools and techniques to manage clinical decision support (CDS) content. METHODS: In order to better understand the current state of the art in CKM, we developed a survey of potential CKM tools and techniques. We […]