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Clinical decision support systems (CDSS) integrated within Electronic Medical Records (EMR) hold the promise of improving healthcare quality. To date the effectiveness of CDSS has been less than expected, especially concerning the ambulatory management of chronic diseases. This is due, in part, to the fact that clinicians do not use CDSS fully. Barriers to… (More)
Smart Form--a condition-driven documentation tool with integrated advanced decision support--is built on a flexible framework and is evolving into a platform for a variety of Web-based clinical documentation systems.
Current implementation techniques constrain our ability to rapidly deploy and augment clinical decision support systems at Partners Healthcare Systems. We report on the use of a commercially-available rule engine system-iLog Rules-as the basis for a series of prototypes typifying Partners decision support applications. For three prototypical systems, we… (More)
We have deployed a number of user interface accelerators within the text editor of a documentation-based clinical decision support application. These accelerators enhance the process of documenting a visit and promote closer integration of actionable decision support into the documentation workflow.