A framework and model for evaluating clinical decision support architectures

Journal of Biomedical Informatics

Volumn 41, Issue 6, 2008, Pages 982-990

  Wright, Adam ^a,b   Sittig, Dean F ^c,d  

^a PARTNERS HEALTHCARE   (United States)

^b BRIGHAM AND WOMEN S HOSPITAL   (United States)

^c Northwest Permanente ^*  (United States)

^d OREGON HEALTH AND SCIENCE UNIVERSITY   (United States)

Author keywords

Clinical decision making; Computer communication networks standards; Computer assisted decision support techniques; Computerized decision support systems; Evaluation; Hospital information systems; Information systems organization administration standards; Medical records systems; Systems integration

Indexed keywords

ADMINISTRATIVE DATA PROCESSING; ARCHITECTURE; ARTIFICIAL INTELLIGENCE; DECISION MAKING; DECISION THEORY; MANAGEMENT INFORMATION SYSTEMS; PROBLEM SOLVING;

CLINICAL DECISION MAKING; COMPUTER COMMUNICATION NETWORKS/STANDARDS; COMPUTERIZED DECISION SUPPORT SYSTEMS; EVALUATION; HOSPITAL INFORMATION SYSTEMS; MEDICAL RECORDS SYSTEMS; SYSTEMS INTEGRATION;

DECISION SUPPORT SYSTEMS;

ARTICLE; CLINICAL DECISION MAKING; COMPUTER MODEL; COMPUTER SYSTEM; DECISION SUPPORT SYSTEM; MEDICAL INFORMATION; PRIORITY JOURNAL;

DECISION SUPPORT SYSTEMS, CLINICAL; MEDICAL RECORDS SYSTEMS, COMPUTERIZED; MODELS, THEORETICAL;

EID: 55549138030     PISSN: 15320464     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jbi.2008.03.009     Document Type: Article

References (34)

1. Balas E.A., Weingarten S., Garb C.T., Blumenthal D., Boren S.A., and Brown G.D. Improving preventive care by prompting physicians. Arch Intern Med. 160 3 (2000) 301-308
2. Cabana M.D., Rand C.S., Powe N.R., et al. Why don't physicians follow clinical practice guidelines? A framework for improvement. JAMA 282 15 (1999) 1458-1465
3. Garg A.X., Adhikari N.K., McDonald H., et al. Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review. JAMA 293 10 (2005) 1223-1238
4. Grimshaw J.M., and Russell I.T. Effect of clinical guidelines on medical practice: a systematic review of rigorous evaluations. Lancet 342 8883 (1993) 1317-1322
5. Hunt D.L., Haynes R.B., Hanna S.E., and Smith K. Effects of computer-based clinical decision support systems on physician performance and patient outcomes: a systematic review. JAMA 280 15 (1998) 1339-1346
6. Johnston M.E., Langton K.B., Haynes R.B., and Mathieu A. Effects of computer-based clinical decision support systems on clinician performance and patient outcome. A critical appraisal of research. Ann Intern Med 120 2 (1994) 135-142
7. Kawamoto K., Houlihan C.A., Balas E.A., and Lobach D.F. Improving clinical practice using clinical decision support systems: a systematic review of trials to identify features critical to success. BMJ 330 7494 (2005) 765
8. Hripcsak G. Arden Syntax for medical logic modules. MD Comput 8 2 (1991) 76-78
9. Health Level 7. Arden Syntax for medical logic systems standard version 2.6. Ann Arbor, MI: Health Level 7; 2007.
10. Wright A, Sittig DF. A four-phase model of the evolution of clinical decision support architectures. Int J Med Inform. doi: 10.1016/j.ijmedinf.2008.01.004, [18 March 2008, Epub ahead of print].
11. Ledley R.S., and Lusted L.B. Reasoning foundations of medical diagnosis; symbolic logic, probability, and value theory aid our understanding of how physicians reason. Science 130 3366 (1959) 9-21 Jul 3
12. Warner H.R., Toronto A.F., Veasey L.G., and Stephenson R. A mathematical approach to medical diagnosis. Application to congenital heart disease. JAMA 177 (1961) 177-183 Jul 22
13. Shortliffe E.H., Davis R., Axline S.G., Buchanan B.G., Green C.C., and Cohen S.N. Computer-based consultations in clinical therapeutics: explanation and rule acquisition capabilities of the MYCIN system. Comput Biomed Res 8 4 (1975) 303-320 Aug
14. Miller R.A., Pople Jr. H.E., and Myers J.D. Internist-1, an experimental computer-based diagnostic consultant for general internal medicine. N Engl J Med 307 8 (1982) 468-476
15. Kuperman G.J., Gardner R.M., and Pryor T.A. HELP: a dynamic hospital information system (1991), Springer, New York
16. McDonald C.J. Protocol-based computer reminders, the quality of care and the non-perfectability of man. N Engl J Med 295 24 (1976) 1351-1355
17. Ram P., Berg D., Tu S., et al. Executing clinical practice guidelines using the SAGE execution engine. Medinfo 11 Pt 1 (2004) 251-255
18. Kawamoto K., and Lobach D.F. Design, implementation, use, and preliminary evaluation of SEBASTIAN, a standards-based web service for clinical decision support. Proc AMIA Symp (2005)
19. Nadkarni P., and Miller R. Service-oriented architecture in medical software: promises and perils. J Am Med Inform Assoc 14 2 (2007)
20. Stead W.W., Haynes R.B., Fuller S., et al. Designing medical informatics research and library-resource projects to increase what is learned. J Am Med Inform Assoc 1 1 (1994) 28-33
21. Osheroff J.A., Teich J.M., Middleton B., Steen E.B., Wright A., and Detmer D.E. A roadmap for national action on clinical decision support. J Am Med Inform Assoc 14 2 (2007) 141-145
22. Hripcsak G., Ludemann P., Pryor T.A., Wigertz O.B., and Clayton P.D. Rationale for the Arden Syntax. Comput Biomed Res 27 4 (1994) 291-324
23. Ohno-Machado L., Gennari J.H., Murphy S.N., et al. The guideline interchange format: a model for representing guidelines. J Am Med Inform Assoc 5 4 (1998) 357-372
24. Peleg M., Boxwala A.A., Ogunyemi O., et al. GLIF3: the evolution of a guideline representation format. Proc AMIA Symp (2000) 645-649
25. Wang D., Peleg M., Tu S.W., et al. Design and implementation of the GLIF3 guideline execution engine. J Biomed Inform 37 5 (2004) 305-318 Oct
26. Huff S.M., Rocha R.A., McDonald C.J., et al. Development of the logical observation identifier names and codes (LOINC) vocabulary. J Am Med Inform Assoc 5 3 (1998) 276-292
27. Health Level 7. Patient evaluation service draft standard. Ann Arbor, MI; 2005.
28. Wright A., and Sittig D.F. A four-phase model of the evolution of clinical decision support architectures (under review). Int J Med Inform (2007)
29. Peleg M., Boxwala A.A., Tu S., et al. The InterMed approach to sharable computer-interpretable guidelines: a review. J Am Med Inform Assoc 11 1 (2004) 1-10
30. Tu S.W., Campbell J.R., Glasgow J., et al. The SAGE Guideline Model: achievements and overview. J Am Med Inform Assoc 14 5 (2007) 589-598
31. OpenClinical. Methods and tools to support the computerisation of clinical practice guidelines: a short introduction. 2005 [cited 2008 January 3]; Available from: http://www.openclinical.org/gmmintro.html.
32. Peleg M., Tu S., Bury J., et al. Comparing computer-interpretable guideline models: a case-study approach. J Am Med Inform Assoc 10 1 (2003) 52-68
33. Wright A., Goldberg H., Hongsermeier T., and Middleton B. A description and functional taxonomy of rule-based decision support content at a large integrated delivery network. J Am Med Inform Assoc 14 4 (2007) 489-496
34. OpenClinical. Methods and tools to support the computerisation of clinical practice guidelines: a short introduction. 2005 [cited 2008 Mar 14]; Available from: http://www.openclinical.org/gmmintro.html.