A Pragmatic Approach to Implementing Best Practices for Clinical Decision Support Systems in Computerized Provider Order Entry Systems
- Affiliations of the authors: Department of Medicine, HackensackUniversity Medical Center (PAG), Hackensack, NJ; UMDNJ-NewJersey Medical Center (PAG), Newark, NJ; Department of Medicine,Brigham and Women's Hospital and Harvard Medical School(DWB), Boston, MA
- Correspondence and reprints: Peter A. Gross, MD, Department of Internal Medicine, Hackensack University Medical Center, Hackensack, NJ 07601; Tel: (201) 996-3500; Fax: (201) 996-3505; e-mail: <pgross{at}humed.com>
- Received 8 June 2006
- Accepted 16 October 2006
Abstract
Incorporation of clinical decision support (CDS) capabilities is required to realize the greatest benefits from computerized provider order entry (CPOE) systems. Discussions at a conference on CDS in CPOE held in San Francisco, California, June 21–22, 2005 produced several papers in this issue of JAMIA. The first paper reviews CDS for electronic prescribing within CPOE systems;1 the second describes current controversies regarding creation, maintenance, and uses of CPOE order sets for CDS;2 and the third presents issues related to certification as a potential means of validating CPOE systems for widespread use.3 This manuscript summarizes all of the discussions at the meeting and provides a pragmatically oriented view of how to implement CPOE with CDS.
Footnotes
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Supported by unconditional educational grants from the Frost Outcomes Fund at the Hackensack University Medical Center Foundation and the Department of Informatics, Partners Healthcare, The BD Foundation, and Siemens Medical Solutions. Other support was received from the Joint Commission on Accreditation of Healthcare Organizations, The Medical Society of New Jersey, and the University of Medicine and Dentistry of New Jersey.
