Clinical Decision Support book cover

Clinical Decision Support

The Road to Broad Adoption

With at least 40% new or updated content since the last edition, Clinical Decision Support, 2nd Edition explores the crucial new motivating factors poised to accelerate Clinical Decision Support (CDS) adoption. This book is mostly focused on the US perspective because of initiatives driving EHR adoption, the articulation of 'meaningful use', and new policy attention in process including the Office of the National Coordinator for Health Information Technology (ONC) and the Center for Medicare and Medicaid Services (CMS). A few chapters focus on the broader international perspective. Clinical Decision Support, 2nd Edition explores the technology, sources of knowledge, evolution of successful forms of CDS, and organizational and policy perspectives surrounding CDS.

Exploring a roadmap for CDS, with all its efficacy benefits including reduced errors, improved quality, and cost savings, as well as the still substantial roadblocks needed to be overcome by policy-makers, clinicians, and clinical informatics experts, the field is poised anew on the brink of broad adoption. Clinical Decision Support, 2nd Edition provides an updated and pragmatic view of the methodological processes and implementation considerations. This book also considers advanced technologies and architectures, standards, and cooperative activities needed on a societal basis for truly large-scale adoption.

Hardbound, 930 Pages

Published: April 2014

Imprint: Academic Press

ISBN: 978-0-12-398476-0

Contents

  • SECTION I: COMPUTER-BASED CLINICAL DECISION SUPPORT: OVERVIEW, STATUS, AND CHALLENGES

    Chapter 1: Definition, Scope, and Challenges

    Chapter 2: A Brief History of Clinical Decision Support

    Chapter 3: Features of Computer-Based Clinical Decision Support

    Chapter 4: The Role of Quality Measurement and Reporting Feedback as a Driver for Care Improvement

    SECTION II: EXPERIENCE WITH CDS DEVELOPMENT AND ADOPTION: CASE STUDIES, NATIONAL INITIATIVES, AND LESSONS LEARNED

    Chapter 5: Regenstrief Medical Informatics

    Chapter 6: Patients, Doctors, and Information Technology Clinical Decision Support at Brigham and Women's Hospital and Partners HealthCare

    Chapter 7: Computer-Based Approaches to Improving Healthcare Quality and Safety at LDS Hospital

    Chapter 8: International Dimensions of Clinical Decision Support

    Chapter 9: Current State of CDS Utilization

    SECTION III: SOURCES OF KNOWLEDGE FOR CLINICAL DECISION SUPPORT

    Chapter 10: Human-Intensive Techniques

    Chapter 11: Generation of Knowledge for Clinical Decision Support

    Chapter 12: Modernizing Evidence Synthesis for Evidence-Based Medicine

    Chapter 13: Big Data and Population-Based Decision Support

    Chapter 14: Clinical Decision Support for Personalized Medicine

    SECTION IV: THE TECHNOLOGY OF CLINICAL DECISION SUPPORT

    Chapter 15: Decision Rules and Expressions

    Chapter 16: Guidelines and Workflow Models

    Chapter 17: Ontologies, Vocabularies, and Data Models

    Chapter 18: Grouped Knowledge Elements

    Chapter 19: Infobuttons and Point of Care Access to Knowledge

    Chapter 20: Formal Representations and Semantic Web Technologies

    Chapter 21: The Role of Standards

    SECTION V: ADOPTION OF CLINICAL DECISION SUPPORT

    Chapter 22: Cognitive Considerations for Health Information Technology

    Chapter 23: Organizational and Cultural Change

    Chapter 24: Managing the Investment in Clinical Decision Support

    Chapter 25: A Clinical Decision Support Implementation Guide: Practical Considerations

    Chapter 26: Legal and Regulatory Issues Related to the Use of Clinical Software in Health Care Delivery

    Chapter 27: Consumers and Clinical Decision Support

    SECTION VI: THE JOURNEY TO WIDESPREAD USE OF CLINICAL DECISION SUPPORT

    Chapter 28: A Clinical Knowledge Management Program

    Chapter 29: Integration of Knowledge Resources into Applications to Enable CDS

    Chapter 30: Looking Ahead: The Road to Broad Adoption

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