Literature DB >> 18693855

Migrating toward a next-generation clinical decision support application: the BJC HealthCare experience.

Yan Huang1, Laura A Noirot, Kevin M Heard, Richard M Reichley, Wm Claiborne Dunagan, Thomas C Bailey.   

Abstract

The next-generation model outlined in the AMIA Roadmap for National Action on Clinical Decision Support (CDS) is aimed to optimize the effectiveness of CDS interventions, and to achieve widespread adoption. BJC HealthCare re-engineered its existing CDS system in alignment with the AMIA roadmap and plans to use it for guidance on further enhancements. We present our experience and discuss an incremental approach to migrate towards the next generation of CDS applications from the viewpoint of a healthcare institution. Specifically, a CDS rule engine service with a standards-based rule representation format was built to simplify maintenance and deployment. Rules were separated from execution code and made customizable for multi-facility deployment. Those changes resulted in system improvement in the short term while aligning with long-term strategic objectives.

Mesh：

Year:  2007        PMID： 18693855      PMCID： PMC2655891     

Source DB:  PubMed          Journal:  AMIA Annu Symp Proc        ISSN： 1559-4076


  9 in total

1.  A virtual medical record for guideline-based decision support.

Authors:  P D Johnson; S W Tu; M A Musen; I Purves
Journal:  Proc AMIA Symp       Date:  2001

2.  Improving safety with information technology.

Authors:  David W Bates; Atul A Gawande
Journal:  N Engl J Med       Date:  2003-06-19       Impact factor: 91.245

3.  Ten commandments for effective clinical decision support: making the practice of evidence-based medicine a reality.

Authors:  David W Bates; Gilad J Kuperman; Samuel Wang; Tejal Gandhi; Anne Kittler; Lynn Volk; Cynthia Spurr; Ramin Khorasani; Milenko Tanasijevic; Blackford Middleton
Journal:  J Am Med Inform Assoc       Date:  2003-08-04       Impact factor: 4.497

4.  Executing clinical practice guidelines using the SAGE execution engine.

Authors:  Prabhu Ram; David Berg; Samson Tu; Guy Mansfield; Qin Ye; Robert Abarbanel; Nick Beard
Journal:  Stud Health Technol Inform       Date:  2004

5.  Design, implementation, use, and preliminary evaluation of SEBASTIAN, a standards-based Web service for clinical decision support.

Authors:  Kensaku Kawamoto; David F Lobach
Journal:  AMIA Annu Symp Proc       Date:  2005

Review 6.  Systematic review: impact of health information technology on quality, efficiency, and costs of medical care.

Authors:  Basit Chaudhry; Jerome Wang; Shinyi Wu; Margaret Maglione; Walter Mojica; Elizabeth Roth; Sally C Morton; Paul G Shekelle
Journal:  Ann Intern Med       Date:  2006-04-11       Impact factor: 25.391

7.  A roadmap for national action on clinical decision support.

Authors:  Jerome A Osheroff; Jonathan M Teich; Blackford Middleton; Elaine B Steen; Adam Wright; Don E Detmer
Journal:  J Am Med Inform Assoc       Date:  2007-01-09       Impact factor: 4.497

8.  Design of a standards-based external rules engine for decision support in a variety of application contexts: report of a feasibility study at Partners HealthCare System.

Authors:  Robert A Greenes; Margarita Sordo; Davide Zaccagnini; Mark Meyer; Gilad J Kuperman
Journal:  Stud Health Technol Inform       Date:  2004

9.  Comparing computer-interpretable guideline models: a case-study approach.

Authors:  Mor Peleg; Samson Tu; Jonathan Bury; Paolo Ciccarese; John Fox; Robert A Greenes; Richard Hall; Peter D Johnson; Neill Jones; Anand Kumar; Silvia Miksch; Silvana Quaglini; Andreas Seyfang; Edward H Shortliffe; Mario Stefanelli
Journal:  J Am Med Inform Assoc       Date:  2003 Jan-Feb       Impact factor: 4.497
  9 in total
  4 in total

1.  Computerized surveillance for adverse drug events in a pediatric hospital.

Authors:  Peter M Kilbridge; Laura A Noirot; Richard M Reichley; Kathleen M Berchelmann; Cortney Schneider; Kevin M Heard; Miranda Nelson; Thomas C Bailey
Journal:  J Am Med Inform Assoc       Date:  2009-06-30       Impact factor: 4.497

2.  Development, Implementation and Use of Electronic Surveillance for Ventilator-Associated Events (VAE) in Adults.

Authors:  Ervina Resetar; Kathleen M McMullen; Anthony J Russo; Joshua A Doherty; Kathleen A Gase; Keith F Woeltje
Journal:  AMIA Annu Symp Proc       Date:  2014-11-14

3.  Clinical information system services and capabilities desired for scalable, standards-based, service-oriented decision support: consensus assessment of the Health Level 7 clinical decision support Work Group.

Authors:  Kensaku Kawamoto; Jason Jacobs; Brandon M Welch; Vojtech Huser; Marilyn D Paterno; Guilherme Del Fiol; David Shields; Howard R Strasberg; Peter J Haug; Zhijing Liu; Robert A Jenders; David W Rowed; Daryl Chertcoff; Karsten Fehre; Klaus-Peter Adlassnig; A Clayton Curtis
Journal:  AMIA Annu Symp Proc       Date:  2012-11-03

Review 4.  Service oriented architecture for clinical decision support: a systematic review and future directions.

Authors:  Salvador Rodriguez Loya; Kensaku Kawamoto; Chris Chatwin; Vojtech Huser
Journal:  J Med Syst       Date:  2014-10-18       Impact factor: 4.460
  4 in total

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