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Related Experiment Videos

Clinical decision support for physician order-entry: design challenges

C A Broverman1, J I Clyman, J M Schlesinger

  • 1ALLTEL Information Services, Health Care Division San Jose, California, USA.

Proceedings : a Conference of the American Medical Informatics Association. AMIA Fall Symposium
|January 1, 1996
PubMed
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This study demonstrates concurrent clinical decision support (CDS) using Arden Syntax at order entry. The developed toolkit offers high performance and customizability for healthcare enterprises, promoting open standards.

Area of Science:

  • Health Informatics
  • Clinical Decision Support Systems
  • Medical Informatics

Background:

  • Concurrent clinical decision support (CDS) at order-entry is crucial for real-time patient care.
  • Integrating CDS with legacy systems presents significant technical challenges.
  • Standardization and performance are key for widespread adoption of CDS tools.

Purpose of the Study:

  • To demonstrate concurrent clinical decision support (CDS) using Arden Syntax at order-entry.
  • To develop a high-performance, customizable CDS toolkit for healthcare enterprises.
  • To promote open technologies and healthcare standards in CDS development.

Main Methods:

  • Joint development effort between ALLTEL Information Services and IBM Worldwide Healthcare.

Related Experiment Videos

  • Utilized Arden Syntax for clinical decision support logic.
  • Developed a generalizable interface to legacy patient-care systems and clinical databases.

    • Main Results:

    • Successfully demonstrated concurrent CDS at order-entry time.
    • Identified and addressed four key design challenges in concurrent order-entry environments.
    • Developed a high-performance CDS toolkit adaptable for multiple healthcare enterprises.

    Conclusions:

    • Concurrent CDS at order-entry is feasible and beneficial.
    • Open technologies and standards facilitate the development of adaptable CDS solutions.
    • Addressing challenges in clinical information modeling, data currency, event triggers, and performance is vital for effective CDS.