Automating the maintenance of problem list documentation using a clinical decision support system.
We designed and tested a clinical decision support system (CDSS) prototype to investigate whether a CDSS that assists matching ordered drugs to problems on the problem list can enhance the maintenance of medications and problem lists in the electronic medical record. We evaluated the capability of this CDSS in medication-problem matching using clinical expert chart audits. The analysis revealed that this CDSS could determine the completeness of medication and problem lists if a mismatch occurs.
Jao
Chiang
C
University of Illinois at Chicago, Chicago, IL, USA.
Hier
Daniel
D
Galanter
William
W
D020000:Decision Support Systems, Clinical / Q000458:organization & administration*; D004282:Documentation / Q000379:methods*; D004346:Drug Information Services / Q000458:organization & administration*; D007087:Illinois; D016247:Information Storage and Retrieval / Q000379:methods*; D016347:Medical Records Systems, Computerized / Q000458:organization & administration*; D008501:Medical Records, Problem-Oriented