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J Am Med Inform Assoc. 2005 Jul-Aug;12(4):365-76. Epub 2005 Mar 31.

Clinical decision support in electronic prescribing: recommendations and an action plan: report of the joint clinical decision support workgroup.

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  • 1Department of Emergency Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA. jteich@harvard.edu

Abstract

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 sets of CDS interventions and knowledge, supporting database elements, operational features to improve usability and measure performance, and management and governance structures; (2) uniform standards, vocabularies, and centralized knowledge structures and services that could reduce rework by vendors and care providers, improve dissemination of well-constructed CDS interventions, promote generally applicable research in CDS methods, and accelerate the movement of new medical knowledge from research to practice; and (3) appropriate financial and legal incentives to promote adoption.

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PMID:
15802474
[PubMed - indexed for MEDLINE]
PMCID:
PMC1174880
Free PMC Article
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