| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Submitted on March 8, 2005
Accepted on March 23, 2005
Affiliation of the authors: 1 Healthvision, Waltham, MA; Department of Emergency Medicine, Brigham and Women's Hospital and Harvard University, Boston, MA; 2 Thomson MICROMEDEX, Denver, CO; Department of Medicine, University of Pennsylvania Health System, Philadelphia, PA; 3 Department of Medicine, University of Pennsylvania Health System, Philadelphia, PA; 4 Northwest Permanente, PC, Portland, OR; Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Sciences University, Portland, OR; 5 Department of Medicine, University of California, Los Angeles, CA
* To whom correspondence should be addressed.
Clinical decision support (CDS) in electronic prescribing (eRx) systems can improve the safety, quality, efficiency, and cost-effectiveness of care. However, at present, these potential benefits have not been fully realized. In this consensus whitepaper, we set forth recommendations and action plans in three critical domains: (1) advances in system capabilities, including a basic and advanced set of CDS interventions and knowledge, supporting database elements, operational features to improve usability and measure performance, and management and governance structures; (2) uniform standards, vocabularies, and centralized knowledge structures and services that could reduce rework by vendors and care providers, improve dissemination of well-constructed CDS interventions, promote generally-applicable research in CDS methods, and accelerate the movement of new medical knowledge from research to practice; and (3) appropriate financial and legal incentives to promote adoption.
This article has been cited by other articles:
 |
|
 |
|
  T. S. Field, P. Rochon, M. Lee, L. Gavendo, S. Subramanian, S. Hoover, J. Baril, and J. Gurwitz Costs Associated with Developing and Implementing a Computerized Clinical Decision Support System for Medication Dosing for Patients with Renal Insufficiency in the Long-term Care Setting J. Am. Med. Inform. Assoc., July 1, 2008; 15(4): 466 - 472. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. M. Kilbridge and D. C. Classen The Informatics Opportunities at the Intersection of Patient Safety and Clinical Informatics J. Am. Med. Inform. Assoc., July 1, 2008; 15(4): 397 - 407. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. M. Grossman, A. Gerland, M. C. Reed, and C. Fahlman Physicians' Experiences Using Commercial E-Prescribing Systems Health Aff., May 1, 2007; 26(3): w393 - w404. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. A. Osheroff, J. M. Teich, B. Middleton, E. B. Steen, A. Wright, and D. E. Detmer A Roadmap for National Action on Clinical Decision Support J. Am. Med. Inform. Assoc., March 1, 2007; 14(2): 141 - 145. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. J. Kuperman, R. M. Reichley, and T. C. Bailey Using Commercial Knowledge Bases for Clinical Decision Support: Opportunities, Hurdles, and Recommendations J. Am. Med. Inform. Assoc., July 1, 2006; 13(4): 369 - 371. [Full Text] [PDF]
|
|
|
|
|
|
R. Tamblyn, A. Huang, Y. Kawasumi, G. Bartlett, R. Grad, A. Jacques, M. Dawes, M. Abrahamowicz, R. Perreault, L. Taylor, et al. The Development and Evaluation of an Integrated Electronic Prescribing and Drug Management System for Primary Care J. Am. Med. Inform. Assoc., March 1, 2006; 13(2): 148 - 159. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. S. Berner, T. K. Houston, M. N. Ray, J. J. Allison, G. R. Heudebert, W. W. Chatham, J. I. Kennedy Jr., G. L. Glandon, P. A. Norton, M. A. Crawford, et al. Improving Ambulatory Prescribing Safety with a Handheld Decision Support System: A Randomized Controlled Trial J. Am. Med. Inform. Assoc., March 1, 2006; 13(2): 171 - 179. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 W. F. Bria II Applied medical informatics for the chest physician: information you can use! Chest, February 1, 2006; 129(2): 446 - 451. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. S. Berner and J. Moss Informatics Challenges for the Impending Patient Information Explosion J. Am. Med. Inform. Assoc., November 1, 2005; 12(6): 614 - 617. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. E. Detmer and C. Safran AMIA's White Paper Policy Series on Timely Issues in Informatics J. Am. Med. Inform. Assoc., July 1, 2005; 12(4): 495 - 495. [Full Text] [PDF]
|
|
|
|
|
|
R. A. Miller, R. M. Gardner, K. B. Johnson, and G. Hripcsak Clinical Decision Support and Electronic Prescribing Systems: A Time for Responsible Thought and Action J. Am. Med. Inform. Assoc., July 1, 2005; 12(4): 403 - 409. [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH |
