title: Clinical Decision Support using a Terminology Server to improve Patient Safety.
abstract: Clinical Decision Support Systems (CDSS) are software applications that support clinicians in making healthcare decisions providing relevant information for individual patients about their specific conditions. The lack of integration between CDSS and Electronic Health Record (EHR) has been identified as a significant barrier to CDSS development and adoption. Andalusia Healthcare Public System (AHPS) provides an interoperable health information infrastructure based on a Service Oriented Architecture (SOA) that eases CDSS implementation. This paper details the deployment of a CDSS jointly with the deployment of a Terminology Server (TS) within the AHPS infrastructure. It also explains a case study about the application of decision support to thromboembolism patients and its potential impact on improving patient safety. We will apply the inSPECt tool proposal to evaluate the appropriateness of alerts in this scenario.
authors.affiliation: Technological Innovation Group, "Virgen del Rocío" University Hospital, Seville, Spain.
authors.forename: Alba
authors.initials: A
authors.lastname: Garcia-Jimenez
authors.affiliation: Technological Innovation Group, "Virgen del Rocío" University Hospital, Seville, Spain.
authors.forename: Alberto
authors.initials: A
authors.lastname: Moreno-Conde
authors.affiliation: Technological Innovation Group, "Virgen del Rocío" University Hospital, Seville, Spain.
authors.forename: Alicia
authors.initials: A
authors.lastname: Martínez-García
authors.affiliation: Internal Medicine Department, "Virgen del Rocío" University Hospital, Seville, Spain.
authors.forename: Ignacio
authors.initials: I
authors.lastname: Marín-León
authors.affiliation: Internal Medicine Department, "Virgen del Rocío" University Hospital, Seville, Spain.
authors.forename: Francisco Javier
authors.initials: FJ
authors.lastname: Medrano-Ortega
authors.affiliation: Biomedical Research Department, Digitalica Salud SL, Seville, Spain.
authors.forename: Carlos L
authors.initials: CL
authors.lastname: Parra-Calderón
mesh_terms: D020000:Decision Support Systems, Clinical / Q000592:standards*; D057286:Electronic Health Records / Q000592:standards*; D006801:Humans; D016247:Information Storage and Retrieval / Q000379:methods; D019300:Medical Errors / Q000517:prevention & control*; D008498:Medical Record Linkage / Q000592:standards; D009323:Natural Language Processing; D061214:Patient Safety / Q000592:standards*; D019984:Quality Indicators, Health Care / Q000592:standards*; D013030:Spain; D009626:Terminology as Topic