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A clinical rule editor in an electronic medical record setting: development, design, and implementation
Rachel Regier1, Rupali Gurjar, Roberto A Rocha
1Knowledge Management, Clinical Informatics Research and Development, Partners HealthCare Systems, Wellesley, MA, USA.
AMIA ... Annual Symposium Proceedings. AMIA Symposium
|March 31, 2010
Summary
Developing a browser-based rule editor streamlined clinical decision support (CDS) updates within an electronic medical record (EMR) system. This tool improved efficiency in managing CDS rules, enhancing patient safety and care quality.
Area of Science:
- Health Informatics
- Medical Software Engineering
Background:
- Clinical decision support (CDS) integrated with electronic medical records (EMRs) improves patient safety and care quality.
- Maintaining and updating hardcoded CDS rules in EMR systems presents significant challenges, hindering efficiency.
Purpose of the Study:
- To design and implement a sustainable solution for managing clinical decision support (CDS) rules.
- To reduce the turnaround time for updating and creating new CDS logic within an electronic medical record (EMR) system.
Main Methods:
- Evaluated needs for CDS rule creation and maintenance.
- Developed a browser-based rule editor for EMR systems.
- Implemented the editor to manage existing and new CDS reminders.
Main Results:
- The browser-based rule editor successfully maintained older reminder rules.
- New CDS reminders were efficiently added using the developed editor.
- The tool demonstrated strengths in rule management and identified areas for improvement.
Conclusions:
- A browser-based rule editor offers an efficient solution for CDS rule maintenance in EMRs.
- This approach enhances the ability to respond to CDS requests more effectively.
- The developed editor shows promise but has limitations that require further attention.
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