View source for Development and evaluation of a comprehensive clinical decision support taxonomy: comparison of front-end tools in commercial and internally developed electronic health record systems


=Introduction=
“[http://www.healthit.gov/policy-researchers-implementers/clinical-decision-support-cds/ Clinical Decision Support CDS] is a valuable tool for improving healthcare quality and lowering costs”. <ref name = " HealthIT.gov"> HealthIT.gov. 2013. Policymaking, Regulation and Strategy. Accessed from http://www.healthit.gov/policy-researchers-implementers/clinical-decision-support-cds . 03/02/2015./</ref> A comprehensive classification of [http://www.healthit.gov/policy-researchers-implementers/clinical-decision-support-cds/ CDS]  across systems will help facilitate efficiency.

== Objective ==
This study aims “to develop and validate a [http://www.cbd.int/gti/taxonomy.shtml/ Taxonomy]  of front-end [http://www.healthit.gov/policy-researchers-implementers/clinical-decision-support-cds/ CDS]   tools and to assess support for these tools in major commercial and internally developed [http://www.himss.org/library/ehr/ EHRs].” <ref name = " Adam Wright, Dean F Sittig, et. al "> Adam Wright, Dean F Sittig, et. al. Development and evaluation of a comprehensive clinical decision support Taxonomy: comparison of front-end tools in commercial and internally developed electronic health record systems.2011. Journal of the American Medical Informatics Assoc. Accessed from http://jamia.oxfordjournals.org/content/18/3/232. 03/02/2015./</ref> Classifications may help standardize and optimize the use of [http://www.healthit.gov/policy-researchers-implementers/clinical-decision-support-cds/ CDS].

== Methods ==
The authors were very creative to use a modified Delphi approach utilizing eleven “decision support experts to develop a [http://www.cbd.int/gti/taxonomy.shtml/ Taxonomy]   of 53 front-end CDS tools”. <ref name = " Adam Wright, Dean F Sittig, et. al "> Adam Wright, Dean F Sittig, et. al. Development and evaluation of a comprehensive clinical decision support taxonomy: comparison of front-end tools in commercial and internally developed electronic health record systems.2011. Journal of the American Medical Informatics Assoc. Accessed from http://jamia.oxfordjournals.org/content/18/3/232. 03/02/2015./</ref> A [http://www.healthit.gov/policy-researchers-implementers/clinical-decision-support-cds/ CDS]   Tool survey were sent to 9 Commercial Vendors and 4 state-of-art [http://www.himss.org/library/ehr/ EHRs].

== Results ==
Responses received were 85% or 7 out of 9 vendors. All 53 CDS types were identified and found in at least one EHR system surveyed and 8 functions were common in all [http://www.himss.org/library/ehr/ EHRs]. Most common were medication dosing and order support were the common classes while diagnostic and ventilator management suggestions were the common systems identified. A subsequent study also reveled that “a small core set of common CDS tools, but identified significant variability in the remainder of clinical decision support content.” <ref name = " Adam Wright, Dean F Sittig, et. al "> Adam Wright, Dean F Sittig, et. al. Development and evaluation of a comprehensive clinical decision support taxonomy: comparison of front-end tools in commercial and internally developed electronic health record systems.2011. Journal of the American Medical Informatics Assoc. Accessed from http://jamia.oxfordjournals.org/content/18/3/232. 03/02/2015./</ref>

== Comments ==
The authors did very well in developing and validating a comprehensive [http://www.cbd.int/gti/taxonomy.shtml/ Taxonomy]   of front-end [http://www.healthit.gov/policy-researchers-implementers/clinical-decision-support-cds/ CDS]   tools. A comprehensive [http://www.cbd.int/gti/taxonomy.shtml/ Taxonomy]   of [http://www.healthit.gov/policy-researchers-implementers/clinical-decision-support-cds/ CDS]   tools may existing across all [http://www.himss.org/library/ehr/ EHRs], which perhaps are the better and effective systems in place. Thanks to the authors for the brilliant their brilliant ideas and great efforts for this study.

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== References ==
<references/>
[[Category:Reviews]]
[[Category:CDS]]
[[Category:EHR]]