Monitoring the function and use of a clinical decision support system.

The continuous monitoring of systems that provide healthcare functions is essential to ensuring their constant operation, optimal performance, and value to providers. Log files are rich resources for studying the various aspects of systems including their function and use. Here, we describe the types of log files, applications of results from their analysis, and creation of a monitoring tool for the Vigilens Health Monitor (an operational clinical decision support system at New York-Presbyterian Hospital).