Accepted for/Published in: JMIR Medical Informatics
Date Submitted: May 14, 2020
Date Accepted: Aug 1, 2020
Clinical Decision Support May Link Multiple Domains to Improve Patient Care: Viewpoint
ABSTRACT
Integrating clinical decision support (CDS) across the continuum of population-, encounter-, and precision-level care domains may improve hospital and clinic workflow efficiency. The diversity and volume of electronic health record data, the complexity of medical and operational knowledge, and the specifics of target user workflow make the development and implementation of comprehensive CDS challenging. Additionally, many providers have an incomplete understanding of the full capabilities of current CDS to potentially improve the quality and efficiency of care delivery. These varied requirements require a multidisciplinary team approach to CDS development for success. Here, we present a practical overview of current and evolving applications of CDS approaches in a large academic setting and discuss the successes and challenges. We demonstrate that implementing CDS tools in the context of linked population-, encounter-, and precision-level care provide an opportunity to integrate complex algorithms at each level into a unified mechanism to improve patient management.
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Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.