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The technical landscape for patient-centered CDS: progress, gaps, and challenges.

Publication ,  Journal Article
Dullabh, P; Heaney-Huls, K; Lobach, DF; Hovey, LS; Sandberg, SF; Desai, PJ; Lomotan, E; Swiger, J; Harrison, MI; Dymek, C; Sittig, DF; Boxwala, A
Published in: J Am Med Inform Assoc
May 11, 2022

Supporting healthcare decision-making that is patient-centered and evidence-based requires investments in the development of tools and techniques for dissemination of patient-centered outcomes research findings via methods such as clinical decision support (CDS). This article explores the technical landscape for patient-centered CDS (PC CDS) and the gaps in making PC CDS more shareable, standards-based, and publicly available, with the goal of improving patient care and clinical outcomes. This landscape assessment used: (1) a technical expert panel; (2) a literature review; and (3) interviews with 18 CDS stakeholders. We identified 7 salient technical considerations that span 5 phases of PC CDS development. While progress has been made in the technical landscape, the field must advance standards for translating clinical guidelines into PC CDS, the standardization of CDS insertion points into the clinical workflow, and processes to capture, standardize, and integrate patient-generated health data.

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Published In

J Am Med Inform Assoc

DOI

EISSN

1527-974X

Publication Date

May 11, 2022

Volume

29

Issue

6

Start / End Page

1101 / 1105

Location

England

Related Subject Headings

  • Workflow
  • Patient-Centered Care
  • Medical Informatics
  • Humans
  • Decision Support Systems, Clinical
  • 46 Information and computing sciences
  • 42 Health sciences
  • 32 Biomedical and clinical sciences
  • 11 Medical and Health Sciences
  • 09 Engineering
 

Citation

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Chicago
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Dullabh, P., Heaney-Huls, K., Lobach, D. F., Hovey, L. S., Sandberg, S. F., Desai, P. J., … Boxwala, A. (2022). The technical landscape for patient-centered CDS: progress, gaps, and challenges. J Am Med Inform Assoc, 29(6), 1101–1105. https://doi.org/10.1093/jamia/ocac029
Dullabh, Prashila, Krysta Heaney-Huls, David F. Lobach, Lauren S. Hovey, Shana F. Sandberg, Priyanka J. Desai, Edwin Lomotan, et al. “The technical landscape for patient-centered CDS: progress, gaps, and challenges.J Am Med Inform Assoc 29, no. 6 (May 11, 2022): 1101–5. https://doi.org/10.1093/jamia/ocac029.
Dullabh P, Heaney-Huls K, Lobach DF, Hovey LS, Sandberg SF, Desai PJ, et al. The technical landscape for patient-centered CDS: progress, gaps, and challenges. J Am Med Inform Assoc. 2022 May 11;29(6):1101–5.
Dullabh, Prashila, et al. “The technical landscape for patient-centered CDS: progress, gaps, and challenges.J Am Med Inform Assoc, vol. 29, no. 6, May 2022, pp. 1101–05. Pubmed, doi:10.1093/jamia/ocac029.
Dullabh P, Heaney-Huls K, Lobach DF, Hovey LS, Sandberg SF, Desai PJ, Lomotan E, Swiger J, Harrison MI, Dymek C, Sittig DF, Boxwala A. The technical landscape for patient-centered CDS: progress, gaps, and challenges. J Am Med Inform Assoc. 2022 May 11;29(6):1101–1105.
Journal cover image

Published In

J Am Med Inform Assoc

DOI

EISSN

1527-974X

Publication Date

May 11, 2022

Volume

29

Issue

6

Start / End Page

1101 / 1105

Location

England

Related Subject Headings

  • Workflow
  • Patient-Centered Care
  • Medical Informatics
  • Humans
  • Decision Support Systems, Clinical
  • 46 Information and computing sciences
  • 42 Health sciences
  • 32 Biomedical and clinical sciences
  • 11 Medical and Health Sciences
  • 09 Engineering