The need for collaborative engagement in creating clinical decision-support alerts

Clinical decision support (CDS) encompasses a broad array of technology and approaches, all of which involve the provision and use of clinical information in medical processes. Medication-focused CDS is frequently used in the context of inpatient computerized prescriber order entry and outpatient el...

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Bibliographic Details
Published in:Physician executive 2014-05, Vol.40 (3), p.71-74
Main Authors: Troiano, David, Jones, Michael A, Smith, Andrew H, Chan, Raymond C, Laegeler, Andrew P, Le, Trinh, Flynn, Allen, Chaffee, Bruce W
Format: Article
Language:English
Subjects:
Computerized physician order entry
Decision support systems
Drug therapy
Drugs
Health care industry
Health maintenance organizations
Management
Medical databases
Medical records
Patient care planning
Prescribing
Services
Technology adoption
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Summary:Clinical decision support (CDS) encompasses a broad array of technology and approaches, all of which involve the provision and use of clinical information in medical processes. Medication-focused CDS is frequently used in the context of inpatient computerized prescriber order entry and outpatient electronic prescribing. CDS for medications includes active computer-generated alerts, interactive decision trees, and passive limits on order sets and selection options, all intended to guide users to the most appropriate medication therapies. While active, interactive, and passive CDS for medications are all important, this article focuses exclusively on active CDS for "common alerts," meaning drug-allergy, drug interaction, and dose-check alerts that are based on predefined drug knowledge bases such as those provided by commercial vendors including First Databank, Cerner Multum, and the Medi-Span subsidiary of Wolters Kluwer Health. Institution-specific active alerts based on custom rules and logic are excluded from the scope of this discussion.
ISSN:0898-2759