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.
international journal of medical informatics
Best practices for preventing malfunctions in rule-based clinical decision support alerts and reminders: Results of a Delphi study
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.
Lessons learned from implementing service-oriented clinical decision support at four sites: A qualitative study
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.
Problem list completeness in electronic health records: A multi-site study and assessment of success factors
OBJECTIVE: To assess problem list completeness using an objective measure across a range of sites, and to identify success factors for problemlist completeness. METHODS: We conducted a retrospective analysis of electronic health record data and interviews at ten healthcare organizations within the United States, United Kingdom, and Argentina who use […]
CER Hub: An informatics platform for conducting comparative effectiveness research using multi-institutional, heterogeneous, electronic clinical data
CER requires coordinated and scalable methods for extracting, aggregating, and analyzing complex, multi-institutional clinical data. By offering a range of informatics tools integrated into a framework for conducting studies using EHR data, the CER Hub provides a solution to the challenges of multi-institutional research using electronic medical record data.
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 […]
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 […]