Ten Commandments for Effective Clinical Decision Support: Making the Practice of Evidence-based Medicine a Reality

David W. Bates, Gilad J. Kuperman, Samuel Wang, Tejal Gandhi, Anne Kittler, Lynn Volk, Cynthia Spurr, Ramin Khorasani, Milenko Tanasijevic, Blackford Middleton

Research output: Contribution to journalArticle

803 Scopus citations

Abstract

While evidence-based medicine has increasingly broad-based support in health care, it remains difficult to get physicians to actually practice it. Across most domains in medicine, practice has lagged behind knowledge by at least several years. The authors believe that the key tools for closing this gap will be information systems that provide decision support to users at the time they make decisions, which should result in improved quality of care. Furthermore, providers make many errors, and clinical decision support can be useful for finding and preventing such errors. Over the last eight years the authors have implemented and studied the impact of decision support across a broad array of domains and have found a number of common elements important to success. The goal of this report is to discuss these lessons learned in the interest of informing the efforts of others working to make the practice of evidence-based medicine a reality.

Original languageEnglish (US)
Pages (from-to)523-530
Number of pages8
JournalJournal of the American Medical Informatics Association
Volume10
Issue number6
DOIs
StatePublished - 2003

ASJC Scopus subject areas

  • Health Informatics

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    Bates, D. W., Kuperman, G. J., Wang, S., Gandhi, T., Kittler, A., Volk, L., Spurr, C., Khorasani, R., Tanasijevic, M., & Middleton, B. (2003). Ten Commandments for Effective Clinical Decision Support: Making the Practice of Evidence-based Medicine a Reality. Journal of the American Medical Informatics Association, 10(6), 523-530. https://doi.org/10.1197/jamia.M1370