Exploring a clinically friendly web-based approach to clinical decision support linked to the electronic health record: design philosophy, prototype implementation, and framework for assessment

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This is a review of Miller, Phipps, Chatterjee, Rajeevan, Levin, Frawley, and Tokuno’s 2014 article, Exploring a Clinically Friendly Web-Based Approach to Clinical Decision Support Linked to the Electronic Health Record: Design Philosophy, Prototype Implementation, and Framework for Assessment.[1]

Introduction

Clinical decision support (CDS) is a health IT component which aids clinicians in the decision making process during a patient visit. The goal of CDS is to provide overall better care for patients through the use of specific tools: [2]

  • Computerized alerts and reminders to care providers and patients
  • Clinical guidelines
  • Condition-specific order sets
  • Focused patient data reports and summaries
  • Documentation templates
  • Diagnostic support and contextually relevant reference information

The authors in this article are testing whether CDS can be implemented into EHRs in a clinician friendly manner. The team worked on the VA’s national EHR and implemented a specific prototype involving Neuropath/CDS. Previous studies have shown the importance of CDS during clinical decision-making.

References

  1. Miller, Phipps, Chatterjee, Rajeevan, Levin, Frawley, and Tokuno. Exploring a Clinically Friendly Web-Based Approach to Clinical Decision Support Linked to the Electronic Health Record: Design Philosophy, Prototype Implementation, and Framework for Assessment. doi: 10.2196/medinform.3586. http://www-ncbi-nlm-nih-gov.ezproxyhost.library.tmc.edu/pmc/articles/PMC4288105/pdf/medinform_v2i2e20.pdf
  2. http://www.healthit.gov/policy-researchers-implementers/clinical-decision-support-cds