An integrated web application for decision support and automation of EHR workflow: a case study of current challenges to standards-based messaging and scalability from the EMBED trial
| Autor: | Tomek Stachowiak, Howard S Goldberg, Cynthia Brandt, Gail D'Onofrio, Osama M. Ahmed, Christian Lagier, Yauheni Solad, Sean S Michael, Wesley C. Holland, Anthony K Ma, Edward R. Melnick |
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| Rok vydání: | 2019 |
| Předmět: |
Decision support system
Process management business.industry Computer science Interoperability Case Report Health Informatics emergency department-initiated buprenorphine buprenorphine Clinical decision support system Personalization 03 medical and health sciences 0302 clinical medicine Workflow 030225 pediatrics Scalability Web application 030212 general & internal medicine business EHR interoperability user-centered design clinical decision support systems User-centered design |
| Zdroj: | JAMIA Open |
| ISSN: | 2574-2531 |
| DOI: | 10.1093/jamiaopen/ooz053 |
| Popis: | Computerized clinical decision support (CDS) faces challenges to interoperability and scalability. Centralized, web-based solutions offer a mechanism to share the cost of CDS development, maintenance, and implementation across practices. Data standards have emerged to facilitate interoperability and rapid integration of such third-party CDS. This case report describes the challenges to implementation and scalability of an integrated, web-based CDS intervention for EMergency department-initiated BuprenorphinE for opioid use Disorder which will soon be evaluated in a trial across 20 sites in five healthcare systems. Due to limitations of current standards, security concerns, and the need for resource-intensive local customization, barriers persist related to centralized CDS at this scale. These challenges demonstrate the need and importance for future standards to support two-way messaging (read and write) between electronic health records and web applications, thus allowing for more robust sharing across health systems and decreasing redundant, resource-intensive CDS development at individual sites. |
| Databáze: | OpenAIRE |
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