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Yearb Med Inform 2017; 26(01): 125-132
DOI: 10.15265/IY-2017-012
Section 5: Decision Support
Survey
Georg Thieme Verlag KG Stuttgart

Advances in Clinical Decision Support: Highlights of Practice and the Literature 2015-2016

R. A. Jenders
1   Center for Biomedical Informatics and Department of Medicine, Charles Drew University, Los Angeles, California, USA
2   Clinical and Translational Science Institute and Department of Medicine, University of California, Los Angeles, California, USA
› Author Affiliations
Further Information

Publication History

18 August 2017

Publication Date:
11 September 2017 (online)

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Summary

Introduction: Advances in clinical decision support (CDS) continue to evolve to support the goals of clinicians, policymakers, patients and professional organizations to improve clinical practice, patient safety, and the quality of care.

Objectives: Identify key thematic areas or foci in research and practice involving clinical decision support during the 2015-2016 time period.

Methods: Thematic analysis consistent with a grounded theory approach was applied in a targeted review of journal publications, the proceedings of key scientific conferences as well as activities in standards development organizations in order to identify the key themes underlying work related to CDS.

Results: Ten key thematic areas were identified, including: 1) an emphasis on knowledge representation, with a focus on clinical practice guidelines; 2) various aspects of precision medicine, including the use of sensor and genomic data as well as big data; 3) efforts in quality improvement; 4) innovative uses of computer-based provider order entry (CPOE) systems, including relevant data displays; 5) expansion of CDS in various clinical settings; 6) patient-directed CDS; 7) understanding the potential negative impact of CDS; 8) obtaining structured data to drive CDS interventions; 9) the use of diagnostic decision support; and 10) the development and use of standards for CDS.

Conclusions: Active research and practice in 2015-2016 continue to underscore the importance and broad utility of CDS for effecting change and improving the quality and outcome of clinical care.

Keywords

Clinical decision support - quality improvement - medical order entry systems
 

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