Grand challenges in clinical decision support

Dean F. Sittig, Adam Wright, Jerome A. Osheroff, Blackford Middleton, Jonathan M. Teich, Joan Ash, Emily Campbell, David W. Bates

Research output: Contribution to journalArticle

300 Citations (Scopus)

Abstract

There is a pressing need for high-quality, effective means of designing, developing, presenting, implementing, evaluating, and maintaining all types of clinical decision support capabilities for clinicians, patients and consumers. Using an iterative, consensus-building process we identified a rank-ordered list of the top 10 grand challenges in clinical decision support. This list was created to educate and inspire researchers, developers, funders, and policy-makers. The list of challenges in order of importance that they be solved if patients and organizations are to begin realizing the fullest benefits possible of these systems consists of: improve the human-computer interface; disseminate best practices in CDS design, development, and implementation; summarize patient-level information; prioritize and filter recommendations to the user; create an architecture for sharing executable CDS modules and services; combine recommendations for patients with co-morbidities; prioritize CDS content development and implementation; create internet-accessible clinical decision support repositories; use freetext information to drive clinical decision support; mine large clinical databases to create new CDS. Identification of solutions to these challenges is critical if clinical decision support is to achieve its potential and improve the quality, safety and efficiency of healthcare.

Original languageEnglish (US)
Pages (from-to)387-392
Number of pages6
JournalJournal of Biomedical Informatics
Volume41
Issue number2
DOIs
StatePublished - Apr 2008

Fingerprint

Clinical Decision Support Systems
Information use
Interfaces (computer)
Internet
Administrative Personnel
Practice Guidelines
Research Personnel
Organizations
Databases
Morbidity
Delivery of Health Care
Safety

Keywords

  • Clinical decision support
  • Clinical information systems

ASJC Scopus subject areas

  • Computer Science Applications
  • Health Informatics
  • Computer Science (miscellaneous)
  • Catalysis

Cite this

Sittig, D. F., Wright, A., Osheroff, J. A., Middleton, B., Teich, J. M., Ash, J., ... Bates, D. W. (2008). Grand challenges in clinical decision support. Journal of Biomedical Informatics, 41(2), 387-392. https://doi.org/10.1016/j.jbi.2007.09.003

Grand challenges in clinical decision support. / Sittig, Dean F.; Wright, Adam; Osheroff, Jerome A.; Middleton, Blackford; Teich, Jonathan M.; Ash, Joan; Campbell, Emily; Bates, David W.

In: Journal of Biomedical Informatics, Vol. 41, No. 2, 04.2008, p. 387-392.

Research output: Contribution to journalArticle

Sittig, DF, Wright, A, Osheroff, JA, Middleton, B, Teich, JM, Ash, J, Campbell, E & Bates, DW 2008, 'Grand challenges in clinical decision support', Journal of Biomedical Informatics, vol. 41, no. 2, pp. 387-392. https://doi.org/10.1016/j.jbi.2007.09.003
Sittig DF, Wright A, Osheroff JA, Middleton B, Teich JM, Ash J et al. Grand challenges in clinical decision support. Journal of Biomedical Informatics. 2008 Apr;41(2):387-392. https://doi.org/10.1016/j.jbi.2007.09.003
Sittig, Dean F. ; Wright, Adam ; Osheroff, Jerome A. ; Middleton, Blackford ; Teich, Jonathan M. ; Ash, Joan ; Campbell, Emily ; Bates, David W. / Grand challenges in clinical decision support. In: Journal of Biomedical Informatics. 2008 ; Vol. 41, No. 2. pp. 387-392.
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