title: Recommendations for clinical decision support deployment: synthesis of a roundtable of medical directors of information systems.
abstract: BACKGROUND
  Ample evidence exists that clinical decision support (CDS) can improve clinician performance. Nevertheless, additional evidence demonstrates that clinicians still do not perform adequately in many instances. This suggests an ongoing need for implementation of CDS, in turn prompting development of a roadmap for national action regarding CDS.
  
  
  OBJECTIVE
  Develop practical advice to aid CDS implementation in order to improve clinician performance.
  
  
  METHODS
  Structured group interview during a roundtable discussion by medical directors of information systems (N = 30), with subsequent review by participants and synthesis.
  
  
  RESULTS
  Participant consensus was that CDS should be comprehensive and should involve techniques such as order sets and facilitated documentation as well as alerts; should be subject to ongoing feedback; and should flow from and be governed by an organization's clinical goals.
  
  
  CONCLUSIONS
  A structured roundtable discussion of clinicians experienced in health information technology can yield practical, consensus advice for implementation of CDS.
authors.affiliation: Cedars-Sinai Medical Center, University of California, Los Angeles, USA.
authors.forename: Robert A
authors.initials: RA
authors.lastname: Jenders
authors.forename: Jerome A
authors.initials: JA
authors.lastname: Osheroff
authors.forename: Dean F
authors.initials: DF
authors.lastname: Sittig
authors.forename: Eric A
authors.initials: EA
authors.lastname: Pifer
authors.forename: Jonathan M
authors.initials: JM
authors.lastname: Teich
mesh_terms: D000288:Administrative Personnel; D001291:Attitude of Health Personnel; D001292:Attitude to Computers; D002983:Clinical Competence; D003658:Decision Making, Computer-Assisted; D020000:Decision Support Systems, Clinical / Q000458:organization & administration*; D006801:Humans; D007256:Information Systems / Q000458:organization & administration; D007407:Interviews as Topic; D009936:Organizational Innovation