By William Hyman – The premise of Clinical Decision Support (CDS) is that automated patient specific “advice” can guide clinician practice toward improved patient care and ultimately better outcomes. A related value is better utilization of resources by avoiding unnecessary clinical activities that are potentially harmful, and/or expensive.
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By William Hyman – Alert fatigue as it is now described arises from the excessive or otherwise ineffectual presentations of advisories while using an EHR. Alert fatigue parallels another common problem which is audible alarm fatigue from medical devices. In both of these more is not necessarily better, and might be worse.
By William Hyman – Draft legislation in the House related to the regulation of Clinical Decision Support software has been revived for 2015 as a component of the proposed Cures Act.
By William Hyman – In this space the most common meaning of interoperability is that EHRs should be able to readily share or transfer information between them. Moreover that information should be fully compatible with the features of the receiving EHR such that the shared information is findable (or better yet obvious) and useable.
By Professor William A. Hyman – The draft 2015 ONC Certification Requirements for EHRs, released on March 20, 2015 in advance of its Federal Register publication, includes among other things that EHRs have Unique Device Identification (UDI) capability for implanted medical devices
By William Hyman – There has been much discussion about EHRs not meeting user’s needs. This often involves complaints of cumbersome data entry and/or data extraction, even within a single product and before ever getting to information exchange.
By William Hyman – At the first of 10 webinars on Health IT Safety sponsored by ONC, The Joint Commission presented its findings on Health IT events derives from its Sentinel Events program. The other presenter was the Pennsylvania Patient Safety Authority.
More on Clinical Decision Support William A. Hyman Professor Emeritus, Biomedical Engineering Texas A&M University, w-hyman@tamu.edu Read other articles by this author It should not…
Strict Standards for the Structure of Data William A. Hyman Professor Emeritus, Biomedical Engineering Texas A&M University, w-hyman@tamu.edu Read other articles by this author The…