Abstract:
BACKGROUND:We have carried out an extensive qualitative research program focused on the barriers and facilitators to successful adoption and use of various features of advanced, state-of-the-art electronic health records (EHRs) within large, academic, teaching facilities with long-standing EHR research and development programs. We have recently begun investigating smaller, community hospitals and out-patient clinics that rely on commercially-available EHRs. We sought to assess whether the current generation of commercially-available EHRs are capable of providing the clinical knowledge management features, functions, tools, and techniques required to deliver and maintain the clinical decision support (CDS) interventions required to support the recently defined "meaningful use" criteria. METHODS:We developed and fielded a 17-question survey to representatives from nine commercially available EHR vendors and four leading internally developed EHRs. The first part of the survey asked basic questions about the vendor's EHR. The second part asked specifically about the CDS-related system tools and capabilities that each vendor provides. The final section asked about clinical content. RESULTS:All of the vendors and institutions have multiple modules capable of providing clinical decision support interventions to clinicians. The majority of the systems were capable of performing almost all of the key knowledge management functions we identified. CONCLUSION:If these well-designed commercially-available systems are coupled with the other key socio-technical concepts required for safe and effective EHR implementation and use, and organizations have access to implementable clinical knowledge, we expect that the transformation of the healthcare enterprise that so many have predicted, is achievable using commercially-available, state-of-the-art EHRs.
journal_name
BMC Med Inform Decis Makjournal_title
BMC medical informatics and decision makingauthors
Sittig DF,Wright A,Meltzer S,Simonaitis L,Evans RS,Nichol WP,Ash JS,Middleton Bdoi
10.1186/1472-6947-11-13subject
Has Abstractpub_date
2011-02-17 00:00:00pages
13issn
1472-6947pii
1472-6947-11-13journal_volume
11pub_type
杂志文章abstract:BACKGROUND:Information and communication technologies have become a vital infrastructural asset for use in the retention of rural health workers. However, little is known about the potential influence of ICT use, perceptions of health workers on ICT in healthcare delivery, and contribution of ICT to health care provide...
journal_title:BMC medical informatics and decision making
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journal_title:BMC medical informatics and decision making
pub_type: 杂志文章
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更新日期:2004-06-28 00:00:00
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journal_title:BMC medical informatics and decision making
pub_type: 杂志文章,评审
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journal_title:BMC medical informatics and decision making
pub_type: 杂志文章
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pub_type: 杂志文章
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journal_title:BMC medical informatics and decision making
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更新日期:2004-10-16 00:00:00
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