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Decision Support Tools within the Electronic Health Record.

Joseph W Rudolf1, Anand S Dighe2

  • 1Department of Laboratory Medicine and Pathology, University of Minnesota Medical School, 420 Delaware Street Southeast, MMC 609 Mayo, Minneapolis, MN 55455, USA.

Clinics in Laboratory Medicine
|May 1, 2019
PubMed
Summary

Electronic health records (EHR) enhance laboratory testing with clinical decision support (CDS). Standardizing laboratory dictionaries within EHRs is crucial for effective CDS programs, improving decision-making from test ordering to clinical action.

Keywords:
Clinical decision support (CDS)Computerized provider order entry (CPOE)Decision support alertsElectronic health record (EHR)Order sets/order panels

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Area of Science:

  • Clinical Informatics
  • Laboratory Medicine
  • Health Information Technology

Background:

  • Laboratory tests are essential components of electronic health records (EHRs).
  • Electronic health records (EHRs) offer fundamental capabilities for clinical decision support (CDS) across the laboratory testing lifecycle.
  • Effective laboratory CDS requires standardized and harmonized laboratory dictionaries.

Purpose of the Study:

  • To review EHR tools that enhance decision-making in laboratory testing.
  • To highlight the importance of standardized laboratory dictionaries for CDS programs.
  • To provide an overview of improving laboratory testing from order to clinical action.

Main Methods:

  • Literature review of EHR functionalities for laboratory CDS.
  • Analysis of standardization and harmonization strategies for laboratory dictionaries.
  • Examination of tools supporting the end-to-end laboratory testing process.

Main Results:

  • EHRs provide essential tools for laboratory CDS.
  • Standardization of laboratory dictionaries is fundamental for sustainable and effective laboratory CDS.
  • Tools exist to improve decision-making throughout the laboratory testing workflow.

Conclusions:

  • Implementing robust laboratory CDS within EHRs is vital for healthcare.
  • Harmonization of laboratory data through standardized dictionaries is key to successful CDS.
  • Leveraging EHR tools optimizes the entire laboratory testing process for better clinical outcomes.