The authors describe a pragmatic approach to the introduction of clinical decision support at the point of care, based on a decade of experience in developing and evolving Vanderbilt's inpatient "WizOrder" care provider order entry (CPOE) system. The inpatient care setting provides a unique opportunity to interject CPOE-based decision support features that restructure clinical workflows, delive...

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 white paper, we set forth recommendations and action plans in three critical domains: (1) advances in system capabilities, including basic and advanced se...

BACKGROUND Implementation delays are common in health information technology (HIT) projects. In this paper, we sought to explore the reasons for delays in implementing major hospital-based HIT, through studying computerized physician order entry (CPOE) and clinical decision support (CDS) systems for prescribing and to develop a provisional taxonomy of causes of implementation delays. METHODS ...

Clinical decision support systems (CDSS) use data from a variety sources to provide guidance to physicians at the point of care. However, several studies have shown that data from these registries often can not be trusted to be accurate or complete. For instance, studies show that accuracy and completeness in medical registries may be as low as 67% and 30.7%, respectively. Consequently, since C...

Objective To assess the educational effectiveness on learning evidence based medicine of a handheld computer clinical decision support tool compared with a pocket card containing guidelines and a control. Design Randomised controlled trial. Setting University of Hong Kong, 2001. Participants 169 fourth year medical students. Main outcome measures Factor and individual item scores from a validat...

While the state of the research in the field of medical decision support systems is illustrated by a set of fairly heterogeneous studies, it is possible to identify fundamental aspects of the fields, e.g. Decision Support Systems for Computerized Provider Order Entry, both for physicians and pharmacists, as well as more specific developments such as instruments to improve processing of data rel...

the aims of this study were about determining of amount of accuracy in tractor-moldboard plow system for tillage operation on paddies and also survey on efficacy of decision support software application on amount of energy use. for this purpose, decision support software was developed by visual basic 6.0. for survey in amount of efficacy of applying the decision support system on paddies tillag...

Introduction A Clinical Pathway (CP) is a multidisciplinary plan of care based on best clinical practice for a specified group of patients with a particular diagnosis. A CP is designed to minimize delays, optimize resource utilization, and maximize quality of care. CPs support the implementation of Casemix by reducing variations of care, increasing homogeneity of cases, improving quality of Cas...

A multiple criteria decision support system has been developed and implemented on the personal computer. Three interactive methods of increasing complexity are realized. The main applications of the system were in the scope of decisions on the best energy development strategy for Lithuania.