Clinical Decision Support: The Road Ahead Book

Contributors     ix
Preface     xi
Computer-Based Clinical Decision Support: Concepts and Origins     1
Definition, Scope, and Challenges   Robert A. Greenes     3
A Brief History of Clinical Decision Support: Technical, Social, Cultural, Economic, and Governmental Perspectives   Robert A. Greenes     31
Features of Computer-Based Clinical Decision Support   Robert A. Greenes     79
Case Studies and Current Status     109
Regenstrief Medical Informatics: Experiences with Clinical Decision Support Systems   Paul Biondich   Burke Mamlin   William Tierney   Marc Overhage   Clement McDonald     111
Patients, Doctors, and Information Technology: Clinical Decision Support at Brigham and Women's Hospital and Partners HealthCare   David W. Bates   Helen G. Lo     127
Case Studies in Clinical Decision Support: LDS Hospital Experience   R. Scott Evans     143
Penetration and Availability of Clinical Decision Support in Commercial Systems   Kent Gale   Jason Hess     169
Lessons Learned   Robert A. Greenes     195
Generation and Formulation of Knowledge     205
Human-Intensive Techniques   Edward H. Shortliffe   Vimla L. Patel     207
Generation of Knowledge for Clinical Decision Support: Statistical and Machine Learning Techniques   Michael E. Matheny   Lucila Ohno-Machado     227
Evidence-Based Medicine and Meta-Analysis: Getting More Out of the Literature   Joseph Lau     249
Representing the Knowledge: Standardization Efforts     265
Decision Rules and Expressions   Robert A. Jenders     267
Guidelines and Workflow Models   Nor Peleg     281
Ontologies, Vocabularies, and Data Models   Stanley M. Huff     307
Grouped Knowledge Elements   Margarita Sordo   Matvey B. Palchuk     325
Infobuttons and Point of Care Access to Knowledge   James J. Cimino   Guilherme Del Fiol     345
The Role of Standards: What We Can Expect and When   Robert A. Greenes     373
Organizational, Business, and Social Challenges     383
Organizational and Cultural Change Considerations   Joan S. Ash     385
Managing the Investment in Clinical Decision Support   John Glaser   Tonya Hongsermeier     403
Legal and Regulatory Issues Related to the Use of Clinical Software in Health Care Delivery   Randolph A. Miller   Sarah M. Miller     423
Knowledge Management Approaches     445
Knowledge Management Infrastructure: Evolution at Partners Healthcare System   Tonya Hongsermeier   Vipul Kashyap   Margarita Sordo     447
The Clinical Knowledge Management Infrastructure of Intermountain Healthcare   Roberto A. Rocha   Richard L. Bradshaw   Nathan C. Hulse   Beatriz H. S. C. Rocha     469
Integration of Knowledge Resources into Applications to Enable Clinical Decision Support: Architectural Considerations   Kensaku Kawamoto     503
The Road Ahead     539
A Proposed Strategy for Overcoming Inertia   Robert A. Greenes     541
Index     571