Clinical decision support in electronic prescribing: recommendations and an action plan: report of the joint clinical decision support workgroup.
Clinical decision support (CDS) in electronic prescribing (eRx) systems can improve the safety, quality, efficiency, and cost-effectiveness of care. However, at present, these potential benefits have not been fully realized. In this consensus white paper, we set forth recommendations and action plans in three critical domains: (1) advances in system capabilities, including basic and advanced sets of CDS interventions and knowledge, supporting database elements, operational features to improve usability and measure performance, and management and governance structures; (2) uniform standards, vocabularies, and centralized knowledge structures and services that could reduce rework by vendors and care providers, improve dissemination of well-constructed CDS interventions, promote generally applicable research in CDS methods, and accelerate the movement of new medical knowledge from research to practice; and (3) appropriate financial and legal incentives to promote adoption.
Teich
Jonathan M
JM
Department of Emergency Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA. jteich@harvard.edu
Osheroff
Jerome A
JA
Pifer
Eric A
EA
Sittig
Dean F
DF
Jenders
Robert A
RA
D020000:Decision Support Systems, Clinical / Q000592:standards; D011307:Drug Prescriptions; D004360:Drug Therapy, Computer-Assisted / Q000592:standards; D006801:Humans; D008508:Medication Errors / Q000517:prevention & control