paul nichol

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 […]