Dean F. Sittig|Adam Wright|Blackford Middleton
Clinical Decision Support: a 25 Year Retrospective and a 25 Year Vision
The University of Texas Health Science Center at Houston|Brigham and Women's Hospital|Harvard University|Harvard University
objective review summarize state art clinical decision support cds circa 1990 review progress 25 year interval time provide vision cds might look like 25 years hence circa 2040informal review medical literature iterative review discussion among authors arrive six axes data knowledge inference architecture technology implementation integration users frame review discussion selected barriers facilitators effective use cdsin six axes significant progress made key advances structuring encoding standardized data increased availability data development knowledge bases cds improvement capabilities share knowledge artifacts explosion methods analyzing inferring clinical data evolution information technologies architectures facilitate broad application cds improvement methods implement cds integrate cds clinical workflow increasing sophistication enduser played role improving effective use cds healthcare deliverycds evolved dramatically past 25 years likely evolve dramatically next 25 years increasingly clinical encounter clinician patient supported wide variety cognitive aides support diagnosis treatment carecoordination surveillance prevention health maintenance wellness