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Disseminating context-specific access to online knowledge resources within electronic health record systems
Guilherme Del Fiol1, Clayton Curtis, James J Cimino
1Department of Biomedical Informatics, University of Utah, Salt Lake City, UT, USA.
Studies in Health Technology and Informatics
|August 8, 2013
Summary
OpenInfobutton is an open-source service that integrates clinical decision support tools, called infobuttons, into electronic health record systems. This improves clinician access to vital patient care information, overcoming workflow barriers.
Area of Science:
- Medical Informatics
- Clinical Decision Support
Background:
- Clinicians frequently have unmet information needs during patient care.
- Barriers exist in accessing online knowledge resources within clinical workflows.
Purpose of the Study:
- To describe OpenInfobutton, a standards-based, open-source Web service for disseminating infobutton capabilities.
- To facilitate the integration of infobuttons into multiple electronic health record (EHR) systems and healthcare organizations.
Main Methods:
- Developed OpenInfobutton as a Web service utilizing clinical context from EHRs.
- Designed for automated linking to relevant information in knowledge resources.
- Focused on a standards-based, open-source architecture.
Main Results:
- OpenInfobutton successfully integrated with 38 knowledge resources.
- Implementation occurred across 5 large healthcare organizations in the United States.
- The architecture and integration experiences are detailed.
Conclusions:
- OpenInfobutton effectively disseminates infobutton capabilities.
- The service addresses clinician information needs by overcoming workflow barriers.
- Successful large-scale implementation demonstrates its utility in healthcare settings.
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