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Clinical Decision Support: History and Basic Concepts

  • Chapter
Healthcare Information Management Systems

Part of the book series: Health Informatics ((HI))

Abstract

From the earliest implementations of electronic health records (EHR,) clinical decision support (CDS) has been seen as a key benefit of the move to computerization. This chapter will review many of the advances in EHR-based CDS, but will also note where CDS has not yet fully lived up to its promise. Included in this chapter’s overview are: the various types of CDS (patient safety, clinical reminders, guidance towards best practice, etc.); the main approaches used for encoding of the clinical knowledge that drives CDS (scripts, rules, guidelines, algorithms, etc.); the different technologies currently used to manage and deliver CDS advice (Arden MLM, expert systems, etc.); as well as aspects of clinicians’ user experience of the clinicians who interact with the CDS (alert fatigue, etc.). Understanding where we have come from can help set the stage for the innovations that will be needed to deliver on CDS’s full potential, which will be the focus of Chapter 28.

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Author information

Authors and Affiliations

  1. Medical Informatics, Cerner Corp., Kansas City, MO, USA

    David P. McCallie Jr. MD

Authors
  1. David P. McCallie Jr. MD
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Corresponding author

Correspondence to David P. McCallie Jr. MD .

Editor information

Editors and Affiliations

  1. Gentiva Health Services, Atlanta, Georgia, USA

    Charlotte A. Weaver

  2. Healthcare Informatics, IBM Research, Baltimore, Maryland, USA

    Marion J. Ball

  3. Division of Health Sciences Informatics, The Johns Hopkins University, Baltimore, Maryland, USA

    George R. Kim

  4. Duquesne University, Pittsburgh, Pennsylvania, USA

    Joan M. Kiel

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© 2016 Springer International Publishing Switzerland

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McCallie, D.P. (2016). Clinical Decision Support: History and Basic Concepts. In: Weaver, C., Ball, M., Kim, G., Kiel, J. (eds) Healthcare Information Management Systems. Health Informatics. Springer, Cham. https://doi.org/10.1007/978-3-319-20765-0_1

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  • DOI: https://doi.org/10.1007/978-3-319-20765-0_1

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-20764-3

  • Online ISBN: 978-3-319-20765-0

  • eBook Packages: MedicineMedicine (R0)

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