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Development, deployment and usability of a point-of-care decision support system for chronic disease management using the recently-approved HL7 decision support service standard.

Publication ,  Journal Article
Lobach, DF; Kawamoto, K; Anstrom, KJ; Russell, ML; Woods, P; Smith, D
Published in: Stud Health Technol Inform
2007

Clinical decision support is recognized as one potential remedy for the growing crisis in healthcare quality in the United States and other industrialized nations. While decision support systems have been shown to improve care quality and reduce errors, these systems are not widely available. This lack of availability arises in part because most decision support systems are not portable or scalable. The Health Level 7 international standard development organization recently adopted a draft standard known as the Decision Support Service standard to facilitate the implementation of clinical decision support systems using software services. In this paper, we report the first implementation of a clinical decision support system using this new standard. This system provides point-of-care chronic disease management for diabetes and other conditions and is deployed throughout a large regional health system. We also report process measures and usability data concerning the system. Use of the Decision Support Service standard provides a portable and scalable approach to clinical decision support that could facilitate the more extensive use of decision support systems.

Duke Scholars

Published In

Stud Health Technol Inform

ISSN

0926-9630

Publication Date

2007

Volume

129

Issue

Pt 2

Start / End Page

861 / 865

Location

Netherlands

Related Subject Headings

  • Point-of-Care Systems
  • Medical Informatics
  • Humans
  • Disease Management
  • Decision Support Systems, Clinical
  • Decision Making, Computer-Assisted
  • Data Collection
  • Consumer Behavior
  • Computer Systems
  • Chronic Disease
 

Citation

APA
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ICMJE
MLA
NLM
Lobach, D. F., Kawamoto, K., Anstrom, K. J., Russell, M. L., Woods, P., & Smith, D. (2007). Development, deployment and usability of a point-of-care decision support system for chronic disease management using the recently-approved HL7 decision support service standard. Stud Health Technol Inform, 129(Pt 2), 861–865.
Lobach, David F., Kensaku Kawamoto, Kevin J. Anstrom, Michael L. Russell, Peter Woods, and Dwight Smith. “Development, deployment and usability of a point-of-care decision support system for chronic disease management using the recently-approved HL7 decision support service standard.Stud Health Technol Inform 129, no. Pt 2 (2007): 861–65.
Lobach DF, Kawamoto K, Anstrom KJ, Russell ML, Woods P, Smith D. Development, deployment and usability of a point-of-care decision support system for chronic disease management using the recently-approved HL7 decision support service standard. Stud Health Technol Inform. 2007;129(Pt 2):861–865.

Published In

Stud Health Technol Inform

ISSN

0926-9630

Publication Date

2007

Volume

129

Issue

Pt 2

Start / End Page

861 / 865

Location

Netherlands

Related Subject Headings

  • Point-of-Care Systems
  • Medical Informatics
  • Humans
  • Disease Management
  • Decision Support Systems, Clinical
  • Decision Making, Computer-Assisted
  • Data Collection
  • Consumer Behavior
  • Computer Systems
  • Chronic Disease