clinical decision support


SAFER Electronic Health Records: Safety Assurance Factors for EHR Resilience

SAFER Electronic Health Records: Safety Assurance Factors for EHR Resilience Electronic health records (EHRs) have the potential to improve the quality and safety of health care. Since the enactment of the Health Information Technology for Economic and Clinical Health Act (HITECH), organizations are adopting EHRs at an unprecedented rate. While […]


InSPECt: Interactive Surveillance Portal for Evaluating Clinical Decision Support

K22 LM011430 (PI – Allison B. McCoy, PhD 2013-2016) Effectively evaluating the appropriateness of clinical decision support alerts and responses is critical to improving patient safety through health information technology. This proposal will develop novel, semi- automated methods to facilitate such evaluations in both ambulatory and community hospital settings with […]


Improving Clinical Decision Support Reliability using Anomaly Detection Methods

R01 LM011966 (PI – Adam Wright, PhD  2014-2018) Clinical decision support systems, such as drug-interaction alerts and preventive care reminders, when used effectively, have been shown to the quality, safety and efficiency of care. However, such systems are complex and sometimes fail – these failures are often not noticed for […]


Clinical Decision Support Alert Appropriateness: A Review and Proposal for Improvement

BACKGROUND: Many healthcare providers are adopting clinical decision support (CDS) systems to improve patient safety and meet meaningful use requirements. Computerized alerts that prompt clinicians about drug-allergy, drug-drug, and drug-disease warnings or provide dosing guidance are most commonly implemented. Alert overrides, which occur when clinicians do not follow the guidance […]


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 […]


State of the Art in Clinical Informatics: Evidence and Examples

OBJECTIVE: The field of clinical informatics has expanded substantially in the six decades since its inception. Early research focused on simple demonstrations that health information technology (HIT) such as electronic health records (EHRs), computerized provider order entry (CPOE), and clinical decision support (CDS) systems were feasible and potentially beneficial in […]