Difference between revisions of "Development and evaluation of a comprehensive clinical decision support taxonomy: comparison of front-end tools in commercial and internally developed electronic health record systems"

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== Comments ==
 
== 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.
 
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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== Related Articles ==
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Guided Medication Dosing for Inpatients With Renal Insufficiency <ref name = "GMD">  Chertow GM, Lee J, Kuperman GJ, et al. Guided Medication Dosing for Inpatients With Renal Insufficiency. JAMA. 2001;286(22):2839-2844. http://jama.jamanetwork.com/article.aspx?articleid=194455 </ref>
  
 
== References ==
 
== References ==

Latest revision as of 22:36, 4 March 2015

Introduction

Clinical Decision Support CDS is a valuable tool for improving healthcare quality and lowering costs”. [1] A comprehensive classification of CDS across systems will help facilitate efficiency.

Objective

This study aims “to develop and validate a Taxonomy of front-end CDS tools and to assess support for these tools in major commercial and internally developed EHRs.” [2] Classifications may help standardize and optimize the use of CDS.

Methods

The authors were very creative to use a modified Delphi approach utilizing eleven “decision support experts to develop a Taxonomy of 53 front-end CDS tools”. [2] A CDS Tool survey were sent to 9 Commercial Vendors and 4 state-of-art 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 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.” [2]

Comments

The authors did very well in developing and validating a comprehensive Taxonomy of front-end CDS tools. A comprehensive Taxonomy of CDS tools may existing across all 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.

Related Articles

Guided Medication Dosing for Inpatients With Renal Insufficiency [3]

References

  1. HealthIT.gov. 2013. Policymaking, Regulation and Strategy. Accessed from http://www.healthit.gov/policy-researchers-implementers/clinical-decision-support-cds . 03/02/2015./
  2. 2.0 2.1 2.2 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./
  3. Chertow GM, Lee J, Kuperman GJ, et al. Guided Medication Dosing for Inpatients With Renal Insufficiency. JAMA. 2001;286(22):2839-2844. http://jama.jamanetwork.com/article.aspx?articleid=194455