title: Clinical decision support: progress and opportunities.
abstract: In 2005, the American Medical Informatics Association undertook a set of activities relating to clinical decision support (CDS), with support from the office of the national coordinator and the Agency for Healthcare Research and Quality. They culminated in the release of the roadmap for national action on CDS in 2006. This article assesses progress toward the short-term goals within the roadmap, and recommends activities to continue to improve CDS adoption throughout the United States. The report finds that considerable progress has been made in the past four years, although significant work remains. Healthcare quality organizations are increasingly recognizing the role of health information technology in improving care, multi-site CDS demonstration projects are under way, and there are growing incentives for adoption. Specific recommendations include: (1) designating a national entity to coordinate CDS work and collaboration; (2) developing approaches to monitor and track CDS adoption and use; (3) defining and funding a CDS research agenda; and (4) updating the CDS 'critical path'.
authors.affiliation: Department of Public Health Sciences, University of Virginia Health System, Charlottesville, VA, USA. lyman@virginia.edu
authors.forename: Jason A
authors.initials: JA
authors.lastname: Lyman
authors.forename: Wendy F
authors.initials: WF
authors.lastname: Cohn
authors.forename: Meryl
authors.initials: M
authors.lastname: Bloomrosen
authors.forename: Don E
authors.initials: DE
authors.lastname: Detmer
mesh_terms: D003299:Cooperative Behavior; D003658:Decision Making, Computer-Assisted; D020000:Decision Support Systems, Clinical; D004059:Diffusion of Innovation; D008490:Medical Informatics / Q000331:legislation & jurisprudence / Q000458:organization & administration*; D014481:United States
references.citation: N Engl J Med. 2003 Jun 19;348(25):2526-34
references.pmid: 12815139
references.citation: Arch Intern Med. 1994 Jul 11;154(13):1511-7
references.pmid: 8018007
references.citation: J Am Med Inform Assoc. 2000 Sep-Oct;7(5):488-98
references.pmid: 10984468
references.citation: J Biomed Inform. 2009 Apr;42(2):334-46
references.pmid: 18935982
references.citation: Arch Intern Med. 2005 May 23;165(10):1111-6
references.pmid: 15911723
references.citation: J Am Med Inform Assoc. 2004 Sep-Oct;11(5):418-26
references.pmid: 15187061
references.citation: J Biomed Inform. 2008 Apr;41(2):387-92
references.pmid: 18029232
references.citation: J Am Med Inform Assoc. 2007 Mar-Apr;14(2):141-5
references.pmid: 17213487
references.citation: J Am Med Inform Assoc. 2009 Jul-Aug;16(4):480-5
references.pmid: 19390107
references.citation: J Am Med Inform Assoc. 2009 Jul-Aug;16(4):531-8
references.pmid: 19390110
references.citation: Trustee. 2009 Apr;62(4):31
references.pmid: 22111200