Top

Published in:

Open Access 01-01-2008 | Editorial

Computerized Clinical Decision Support: Will it Transform Healthcare?

Author: Basit Chaudhry, MD, PhD

Published in: Journal of General Internal Medicine | Special Issue 1/2008

Excerpt

Many experts argue that addressing the burgeoning problems of the health care system requires a fundamental redesign, a transformation in which existing modalities are replaced by new paradigms for care delivery.1,2 As the Institute of Medicine has stated, simply “trying harder” to make the existing system work better will not be enough.3 However, while the need for fundamental redesign is generally agreed upon, less agreement exists for how those changes should be made and what that new health care system should look like. Expanding the use of information technology has emerged as one of the most widely supported aspects to health care system redesign.4‐8 …

Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press; 2001.

Chassin MR, Galvin RW. The urgent need to improve health care quality. Institute of Medicine National Roundtable on Health Care Quality. JAMA. 1998;280(11):1000–5.

Institute of Medicine. To Err is Human: Building a Safer Health System. Washington, DC: National Academy Press; 2000.

Frist B, Clinton H. How to Heal Health Care. Washington Post 2004 August 25; Sect. A17.

American Academy of Family Physicians. Brief Report of the AAFP’s EHR Pilot Project: Key Learnings from Six Small Family Practices. Leawood: American Academy of Family Physicians Center for Health Information Technology; 2005.

Thompson TG, Brailer DJ. The Decade of Health Information Technology: Delivering Consumer-centric and Information-rich Health Care. Washington, DC: US Department of Health and Human Services; 2004.

Taylor R, Bower A, Girosi F, Bigelow J, Fonkych K, Hillestad R. Promoting health information technology: is there a case for more-aggressive government action? Health Aff. 2005;24(5):1234–45.CrossRef

Smith MF. E-Health: Roadmap for 21st Century Health Care Consumers. In: Organisation for Economic Co-operation and Development Forum 2004. Paris: Health of Nations; 2004.

Kaushal R, Shojania KG, Bates DW. Effects of computerized physician order entry and clinical decision support systems on medication safety a systematic review. Arch Intern Med. 2003;163(12):1409–16.PubMedCrossRef

10.

Coiera E. Guide to Health Informatics. London: Arnold; 2003.

11.

Garg AX, Adhikari NKJ, McDonald H, et al. Effects of computerized clinical decision support systems on practitioner performance and patient outcomes a systematic review. JAMA. 2005;293(10):1223–38.PubMedCrossRef

12.

Chaudhry B, Wang J, Wu S, et al. Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. Ann Intern Med. 2006;144(10): 742–52.PubMed

13.

Agostini JV, Concato J, Inouye SK. Improving sedative-hypnotic prescribing in older hospitalized patients: provider-perceived benefits and barriers of a computer-based reminder. J Gen Intern Med. 2008 DOI 10.1007/s11606-007-0238-9.

14.

Graber ML, Mathew A. Performance of a web-based clinical diagnosis support system for internists. J Gen Intern Med. 2008 DOI 10.1007/s11606-007-0271-8.

15.

Berg M. Rationalizing Medical Work: Decision-Support Techniques and Medical Practices. Cambridge: MIT Press; 1997.

16.

Berg M. Patient care information systems and health care work: a sociotechnical approach. Int J Med Inform. 1999;55(2):87–101.PubMedCrossRef

17.

Aarts J, Berg M. A tale of two hospitals: a sociotechnical appraisal of the introduction of computerized physician order entry in two Dutch hospitals. Medinfo. 2004;11(Pt 2):999–1002.PubMed

18.

Aarts J, Doorewaard H, Berg M. Understanding implementation: the case of a computerized physician order entry system in a large Dutch university medical center. J Am Med Inform Assoc. 2004;11(3):207–16.PubMedCrossRef

19.

Rogers E. Diffusion of Innovation, 5th ed. New York: Free Press; 1995.

20.

Ware JE Jr, Hays RD. Methods for measuring patient satisfaction with specific medical encounters. Med Care. 1988;26(4):393–402.PubMedCrossRef

21.

Knottnerus JA, van Weel C, Muris JM. Evaluation of diagnostic procedures. BMJ. 2002;324:477–80.PubMedCrossRef

Title: Computerized Clinical Decision Support: Will it Transform Healthcare?
Author: Basit Chaudhry, MD, PhD
Publication date: 01-01-2008
Publisher: Springer-Verlag
Published in: Journal of General Internal Medicine / Issue Special Issue 1/2008
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI: https://doi.org/10.1007/s11606-007-0432-9

Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Reserve your place

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin

Prof. Florian Limbourg

Prof. Anoop Chauhan

Developed by: Springer Medicine

Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Excerpt

Please log in to get access to this content

Other articles of this Special Issue 1/2008

Performance of a Web-Based Clinical Diagnosis Support System for Internists

Evaluation of Clinical Innovation: A Gray Zone in the Ethics of Modern Clinical Practice?

Economic Implications of Potential Changes to Regulatory and Reimbursement Policies for Medical Devices

Cardiac Device Implantation in the United States from 1997 through 2004: A Population-based Analysis

Programmable Infusion Pumps in ICUs: An Analysis of Corresponding Adverse Drug Events

Trial Registration for Public Trust: Making the Case for Medical Devices

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

At a glance: The STEP trials