Adam Wright

..As of May 2012, only 12.2% of 62,226 eligible professionals had attested to meaningful use, including 9.8% of specialists and 17.8% of primary care providers...

..Accurate clinical problem lists are critical for patient care, clinical decision support, population reporting, quality improvement, and research. However, problem lists are often incomplete or out of date...

..However, the development and implementation of order sets can be expensive and time-consuming and limited literature exists about their utilization...

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..However, problem lists are frequently inaccurate and out-of-date and use varies widely across providers...

..The results of a retrospective evaluation of the frequency and preventability of adverse drug events (ADEs) involving multiple drugs among hospital inpatients are reported...

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..Provider and patient reminders can be effective in increasing rates of preventive screenings and vaccinations. However, the effect of patient-directed electronic reminders is understudied...

..Common structured sources of problem information include the patient problem list and billing data; however, these sources are often inaccurate or incomplete...

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..However, there is no comprehensive taxonomy of types of CDS and there has been limited research on the availability of various CDS tools across current electronic health record (EHR) systems...

..We apply this framework to several well-known decision support architectures, including Arden Syntax, GLIF, SEBASTIAN, and SAGE...

..The authors sought to determine the range and variety of these governance structures and identify a set of recommended practices through observational study...

..The problem list enables decision support and quality measurement, and evidence suggests that patients with accurate and complete problem lists may have better outcomes. However, the problem list is often incomplete...

..One reason why decision support systems are not widely used is the relative difficulty of integrating such systems into clinical workflows and computer systems...

..0. We believe the case for Web 2.0 as a tool for collaborating on clinical decision support content appears strong, particularly for collaborative content development within an organization...

..Purpose The goal of this project was to describe and quantify the results of a study of decision support capabilities in Certification Commission for Health Information Technology (CCHIT) certified electronic health record systems...

..However, it is not known how many providers have the ability to generate such registries...

..The SANDS architecture for decision support has several significant advantages over other architectures for clinical decision support. The most salient of these are:..

..Objective: To assess physicians' attitudes toward health information exchange (HIE) and physicians' willingness to pay to participate in HIE...

..However, evidence regarding their effectiveness for this purpose is mixed, and existing studies have generally considered EHR usage a binary factor and have not considered the availability and use of specific EHR features...

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..Although hyponatremia has been linked to increased morbidity and mortality in a variety of medical conditions, its association with perioperative outcomes remains uncertain...

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..These findings may be useful for order sets developers, particularly in settings where resources are constrained and the most important order sets must be developed first...

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..This study sought to develop a functional taxonomy of rule-based clinical decision support...

..0% of entries had matches in VA/KP (p<0.001). Though both subsets had reasonable coverage, CORE was superior in our sample, and had fewer clinically significant gaps...

..Despite advances in text summarization, only limited research exists on clinical summarization, the complex and heterogeneous process of gathering, organizing and presenting patient data in various forms...

..To determine the features of commercially available USB-based Personal Health Records (PHR) devices, and compare the commercial state of the art to recommendations made by certification committees...

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..Although hyponatremia is a well-recognized complication of treatment with thiazide diuretics, the risk of thiazide-induced hyponatremia remains uncertain in routine care...

..Identification of solutions to these challenges is critical if clinical decision support is to achieve its potential and improve the quality, safety and efficiency of healthcare...

..It is published in JAMIA for archival and dissemination purposes. The full text of this material has been previously published on the AMIA Web site (www.amia.org/inside/initiatives/cds). AMIA is the copyright holder...