title: Ten commandments for effective clinical decision support for imaging: enabling evidence-based practice to improve quality and reduce waste.
abstract: OBJECTIVE
  We describe best practices for effective imaging clinical decision support (CDS) derived from firsthand experience, extending the Ten Commandments for CDS published a decade ago. Our collective perspective is used to set expectations for providers, health systems, policy makers, payers, and health information technology developers.
  
  
  CONCLUSIONS
  Highlighting unique attributes of effective imaging CDS will help radiologists to successfully lead and optimize the value of the substantial federal and local investments in health information technology in the United States.
authors.affiliation: 1 Center for Evidence Based Imaging and Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 1620 Francis St, Boston, MA 02120.
authors.forename: Ramin
authors.initials: R
authors.lastname: Khorasani
authors.forename: Keith
authors.initials: K
authors.lastname: Hentel
authors.forename: Jonathan
authors.initials: J
authors.lastname: Darer
authors.forename: Curtis
authors.initials: C
authors.lastname: Langlotz
authors.forename: Ivan K
authors.initials: IK
authors.lastname: Ip
authors.forename: Scott
authors.initials: S
authors.lastname: Manaker
authors.forename: John
authors.initials: J
authors.lastname: Cardella
authors.forename: Robert
authors.initials: R
authors.lastname: Min
authors.forename: Steven
authors.initials: S
authors.lastname: Seltzer
mesh_terms: D000465:Algorithms; D020000:Decision Support Systems, Clinical / Q000592:standards*; D003952:Diagnostic Imaging / Q000592:standards*; D055317:Evidence-Based Practice; D006747:Hospital Communication Systems / Q000592:standards*; D058996:Quality Improvement / Q000592:standards*; D014481:United States; D019564:Unnecessary Procedures
keywords: clinical decision support (CDS); electronic health records (EHRs); evidence-based imaging; imaging utilization; quality of care