ArticleJournal of the American Medical Informatics Association : JAMIA2014
A highly scalable, interoperable clinical decision support service.
Article in Journal of the American Medical Informatics Association : JAMIA, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed.
- Clinical Decision Support for a Multicenter Trial of Pediatric Head Trauma: Development, Implementation, and Lessons Learned.Applied clinical informatics · 2016Trial
- Barriers and facilitators of the use of clinical informatics resources to facilitate pharmacogenomic implementation in resource-limited settings.JAMIA open · 2024Article
- A pragmatic, stepped-wedge, hybrid type II trial of interoperable clinical decision support to improve venous thromboembolism prophylaxis for patients with traumatic brain injury.Implementation science : IS · 2024Article
- Ontologies Applied in Clinical Decision Support System Rules: Systematic Review.JMIR medical informatics · 2023Review
- GARDE: a standards-based clinical decision support platform for identifying population health management cohorts.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Standards-Based Clinical Decision Support Platform to Manage Patients Who Meet Guideline-Based Criteria for Genetic Evaluation of Familial Cancer.JCO clinical cancer informatics · 2020Article
- Article
- Clinical decision support alert malfunctions: analysis and empirically derived taxonomy.Journal of the American Medical Informatics Association : JAMIA · 2018Article
- Implementation of a scalable, web-based, automated clinical decision support risk-prediction tool for chronic kidney disease using C-CDA and application programming interfaces.Journal of the American Medical Informatics Association : JAMIA · 2017Article
- Crossing the health IT chasm: considerations and policy recommendations to overcome current challenges and enable value-based care.Journal of the American Medical Informatics Association : JAMIA · 2017Article
- Screening Consolidated Clinical Document Architecture (CCDA) Documents for Sensitive Data Using a Rule-Based Decision Support System.Applied clinical informatics · 2017Article
- Clinical Decision Support: a 25 Year Retrospective and a 25 Year Vision.Yearbook of medical informatics · 2016Review
- DCDS: A Real-time Data Capture and Personalized Decision Support System for Heart Failure Patients in Skilled Nursing Facilities.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2016Article
- Clinical Decision Support for Immunizations (CDSi): A Comprehensive, Collaborative Strategy.Biomedical informatics insights · 2016Article
- SMART on FHIR Genomics: facilitating standardized clinico-genomic apps.Journal of the American Medical Informatics Association : JAMIA · 2015Article
- Factors Underlying Quality Problems with Alcohol Screening Prompted by a Clinical Reminder in Primary Care: A Multi-site Qualitative Study.Journal of general internal medicine · 2015Observational
- Multiple perspectives on clinical decision support: a qualitative study of fifteen clinical and vendor organizations.BMC medical informatics and decision making · 2015Article
- Taking advantage of continuity of care documents to populate a research repository.Journal of the American Medical Informatics Association : JAMIA · 2015Article
- A Multistep Maturity Model for the Implementation of Electronic and Computable Diagnostic Clinical Prediction Rules (eCPRs).EGEMS (Washington, DC) · 2015Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveTo create a clinical decision support (CDS) system that is shareable across healthcare delivery systems and settings over large geographic regions. MATERIALS AND
methodsThe enterprise clinical rules service (ECRS) realizes nine design principles through a series of enterprise java beans and leverages off-the-shelf rules management systems in order to provide consistent, maintainable, and scalable decision support in a variety of settings.
resultsThe ECRS is deployed at Partners HealthCare System (PHS) and is in use for a series of trials by members of the CDS consortium, including internally developed systems at PHS, the Regenstrief Institute, and vendor-based systems deployed at locations in Oregon and New Jersey. Performance measures indicate that the ECRS provides sub-second response time when measured apart from services required to retrieve data and assemble the continuity of care document used as input. DISCUSSION: We consider related work, design decisions, comparisons with emerging national standards, and discuss uses and limitations of the ECRS.
conclusionsECRS design, implementation, and use in CDS consortium trials indicate that it provides the flexibility and modularity needed for broad use and performs adequately. Future work will investigate additional CDS patterns, alternative methods of data passing, and further optimizations in ECRS performance.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.