Our study of quality and safety control processes used for HIT by two leading health care systems shows that resilient safety practices are an important part of safety in complex sociotechnical systems.
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.
Developing effective and reliable rule-based clinical decision support (CDS) alerts and reminders is challenging. Using a previously developed taxonomy for alert malfunctions, we identified best practices for developing, testing, implementing, and maintaining alerts and avoiding malfunctions.
The Clinical Decision Support Consortium successfully developed a clinical decision support service and implemented it in four different electronic health records and four diverse clinical sites.
A series of activities are performed by sites strong in CDS, and sites adopting CDS should ensure they incorporate these activities into their efforts.
The three groups share thinking about many aspects of CDS, but views differ in a number of important respects as well. Until these three groups can reach a mutual understanding of the views of the other stakeholders, and work together, CDS will not reach its potential.
Although the health information technology industry has made considerable progress in the design, development, implementation, and use of electronic health records (EHRs), the lofty expectations of the early pioneers have not been met.
Although he described himself humbly as “just a country doctor,” Dr. G. Octo Barnett altered the course of the practice of medicine when he suggested, in the 1950s, “We ought to try using timesharing computer systems to improve medical care.”
Dr. Donald A.B. Lindberg, an eminent pathologist, served as Director of the National Library of Medicine for more than 30 years and has made
important contributions to information and computer activities in medical diagnosis, artificial intelligence, and educational programs.
Health information technology is improving patient safety. It can also help to create new kinds of errors, which may potentially harm patients in a phenomenon some are calling “e-iatrogenesis.” These known incidents may be just the tip of a large iceberg. Lawsuits, real or worried about, mean some reports may […]
