Literature DB >> 23304342

Using a service oriented architecture approach to clinical decision support: performance results from two CDS Consortium demonstrations.

Marilyn D Paterno1, Howard S Goldberg, Linas Simonaitis, Brian E Dixon, Adam Wright, Beatriz H Rocha, Harley Z Ramelson, Blackford Middleton.   

Abstract

The Clinical Decision Support Consortium has completed two demonstration trials involving a web service for the execution of clinical decision support (CDS) rules in one or more electronic health record (EHR) systems. The initial trial ran in a local EHR at Partners HealthCare. A second EHR site, associated with Wishard Memorial Hospital, Indianapolis, IN, was added in the second trial. Data were gathered during each 6 month period and analyzed to assess performance, reliability, and response time in the form of means and standard deviations for all technical components of the service, including assembling and preparation of input data. The mean service call time for each period was just over 2 seconds. In this paper we report on the findings and analysis to date while describing the areas for further analysis and optimization as we continue to expand our use of a Services Oriented Architecture approach for CDS across multiple institutions.

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Mesh：

Year:  2012        PMID： 23304342      PMCID： PMC3540488     

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


  15 in total

1.  Implementation of a clinical decision support system using a service model: results of a feasibility study.

Authors:  Damian Borbolla; Carlos Otero; David F Lobach; Kensaku Kawamoto; Ana M Gomez Saldaño; Gustavo Staccia; Gastón Lopez; Silvana Figar; Daniel Luna; Fernan Gonzalez Bernaldo de Quiros
Journal:  Stud Health Technol Inform       Date:  2010

2.  Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network.

Authors:  Eric G Poon; Barry Blumenfeld; Claus Hamann; Alexander Turchin; Erin Graydon-Baker; Patricia C McCarthy; John Poikonen; Perry Mar; Jeffrey L Schnipper; Robert K Hallisey; Sandra Smith; Christine McCormack; Marilyn Paterno; Christopher M Coley; Andrew Karson; Henry C Chueh; Cheryl Van Putten; Sally G Millar; Margaret Clapp; Ishir Bhan; Gregg S Meyer; Tejal K Gandhi; Carol A Broverman
Journal:  J Am Med Inform Assoc       Date:  2006 Nov-Dec       Impact factor: 4.497

3.  Details of a successful clinical decision support system.

Authors:  Jeff Friedlin; Paul R Dexter; J Marc Overhage
Journal:  AMIA Annu Symp Proc       Date:  2007-10-11

4.  Challenges in creating an enterprise clinical rules service.

Authors:  Marilyn D Paterno; Molly Schaeffer; Cheryl Van Putten; Adam Wright; Elizabeth S Chen; Howard S Goldberg
Journal:  AMIA Annu Symp Proc       Date:  2008-11-06

5.  SANDS: a service-oriented architecture for clinical decision support in a National Health Information Network.

Authors:  Adam Wright; Dean F Sittig
Journal:  J Biomed Inform       Date:  2008-03-14       Impact factor: 6.317

6.  The HL7-OMG Healthcare Services Specification Project: motivation, methodology, and deliverables for enabling a semantically interoperable service-oriented architecture for healthcare.

Authors:  Kensaku Kawamoto; Alan Honey; Ken Rubin
Journal:  J Am Med Inform Assoc       Date:  2009-08-28       Impact factor: 4.497

7.  The clinical decision support consortium.

Authors:  Blackford Middleton
Journal:  Stud Health Technol Inform       Date:  2009

8.  Detecting alerts, notifying the physician, and offering action items: a comprehensive alerting system.

Authors:  G J Kuperman; J M Teich; D W Bates; F L Hiltz; J M Hurley; R Y Lee; M D Paterno
Journal:  Proc AMIA Annu Fall Symp       Date:  1996

9.  Tiering drug-drug interaction alerts by severity increases compliance rates.

Authors:  Marilyn D Paterno; Saverio M Maviglia; Paul N Gorman; Diane L Seger; Eileen Yoshida; Andrew C Seger; David W Bates; Tejal K Gandhi
Journal:  J Am Med Inform Assoc       Date:  2008-10-24       Impact factor: 4.497

10.  Towards computerizing intensive care sedation guidelines: design of a rule-based architecture for automated execution of clinical guidelines.

Authors:  Femke Ongenae; Femke De Backere; Kristof Steurbaut; Kirsten Colpaert; Wannes Kerckhove; Johan Decruyenaere; Filip De Turck
Journal:  BMC Med Inform Decis Mak       Date:  2010-01-18       Impact factor: 2.796
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  7 in total

1.  A Service Oriented Architecture Approach to Achieve Interoperability between Immunization Information Systems in Iran.

Authors:  Masoud Hosseini; Maryam Ahmadi; Brian E Dixon
Journal:  AMIA Annu Symp Proc       Date:  2014-11-14

2.  Enabling cross-platform clinical decision support through Web-based decision support in commercial electronic health record systems: proposal and evaluation of initial prototype implementations.

Authors:  Mingyuan Zhang; Ferdinand T Velasco; R Clayton Musser; Kensaku Kawamoto
Journal:  AMIA Annu Symp Proc       Date:  2013-11-16

3.  Challenges and Solutions in Optimizing Execution Performance of a Clinical Decision Support-Based Quality Measurement (CDS-QM) Framework.

Authors:  Tyler J Tippetts; Phillip B Warner; Polina V Kukhareva; David E Shields; Catherine J Staes; Kensaku Kawamoto
Journal:  AMIA Annu Symp Proc       Date:  2015-11-05

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

5.  Multiple perspectives on clinical decision support: a qualitative study of fifteen clinical and vendor organizations.

Authors:  Joan S Ash; Dean F Sittig; Carmit K McMullen; Adam Wright; Arwen Bunce; Vishnu Mohan; Deborah J Cohen; Blackford Middleton
Journal:  BMC Med Inform Decis Mak       Date:  2015-04-24       Impact factor: 2.796

6.  Clinical decision support alert malfunctions: analysis and empirically derived taxonomy.

Authors:  Adam Wright; Angela Ai; Joan Ash; Jane F Wiesen; Thu-Trang T Hickman; Skye Aaron; Dustin McEvoy; Shane Borkowsky; Pavithra I Dissanayake; Peter Embi; William Galanter; Jeremy Harper; Steve Z Kassakian; Rachel Ramoni; Richard Schreiber; Anwar Sirajuddin; David W Bates; Dean F Sittig
Journal:  J Am Med Inform Assoc       Date:  2018-05-01       Impact factor: 4.497

7.  Measuring agreement between decision support reminders: the cloud vs. the local expert.

Authors:  Brian Edward Dixon; Linas Simonaitis; Susan M Perkins; Adam Wright; Blackford Middleton
Journal:  BMC Med Inform Decis Mak       Date:  2014-04-10       Impact factor: 2.796
  7 in total

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