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First published October 26, 2006 as JAMIA PrePrint; doi:10.1197/jamia.M2173
Journal of the American Medical Informatics Association 2007;14(1):25-28
© 2007 American Medical Informatics Association

A more recent version of this article appeared on January 1, 2007
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Submitted on June 8, 2006
Accepted on October 16, 2006

A Pragmatic Approach to Implementing Best Practices for Clinical Decision Support Systems in Computerized Provider Order Entry Systems

Peter A. Gross MD1* and David W. Bates MD, MSc2

Affiliation of the authors: 1 Department of Medicine, Hackensack University Medical Center, Hackensack, NJ; Department of Medicine, UMDNJ-New Jersey Medical Center, Newark, NJ ; 2 Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA

* To whom correspondence should be addressed.

To realize the greatest benefits from computerized provider order entry (CPOE) systems requires incorporation of clinical decision support (CDS) capabilities. Discussions at a conference on CDS in CPOE held in San Francisco, California, June, 21-22, 2005 produced several papers in this issue of JAMIA. The first paper reviews CDS for electronic prescribing within CPOE systems (1); the second describes current controversies regarding creation, maintenance, and uses of CPOE order sets for CDS (2); and the third presents issues related to certification as a potential means of validating CPOE systems for widespread use (3). This manuscript summarizes all of the discussions at the meeting, and provides a pragmatically oriented view of how to implement CPOE with CDS.






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