Clinical Decision Support Systems:
State of the Art
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither Road
Rockville, MD 20850
www.ahrq.gov
Prepared by:
Eta S. Berner, Ed.D.
Department of Health Services Administration
University of Alabama at Birmingham
AHRQ Publication No. 09-0069-EF
June 2009
This document is in the public domain and may be used and reprinted without permission, except for any copyrighted materials noted, for which further reproduction is prohibited without the specific permission of the copyright holders.
A PDF version of this document is also available. [PDF; 184KB]
Suggested Citation:
Berner ES. Clinical decision support systems: State of the Art. AHRQ Publication No.
09-0069-EF. Rockville, Maryland: Agency for Healthcare Research and Quality. June 2009.
Acknowledgments
The author appreciates the support of Jerome Osheroff, M.D., and Robyn Tamblyn, Ph.D., who both provided valuable input at several stages in development of this white paper and reviewed an earlier draft.
Contents
Introduction
Types of Clinical Decision Support
Technological Underpinnings
Target Area of Care
Delivery of CDS Recommendations to Users
User Control
Impact and Effectiveness of CDS
Impact on Care Process And Patient Health Outcomes
Impact on estructure
Design and Implementation of CDS
Workflow Integration
Data Entry and Output
Standards and Transferability
Knowledge Maintenance
Clinician Motivation to Use CDS
Evaluation
Factors in the Current U.S. Health Care Environment Facilitating Broader Utilization of CDS.
Payer Initiatives to Increase Incentives for Use of CDS
Technological developments
Summary
References
Tables
Table 1. Examples of CDS interventions by target area of care
Table 2. CDS intent and key issues
abrir aquí para acceder al extenso documento en html (o bien bajarlo en PDF):
Clinical Decision Support Systems: State of the Art
back-up:
Clinical Decision Support Systems: State of the Art
.png)
No hay comentarios:
Publicar un comentario