clinical-decision-support-book

项目相关的成果

Governance管理

  • 通过了CDS Consortium Steering Committee Charter.
  • 认可了Content Governance Committee's (CGC) Editorial Policies,是进行内容共享、提交、修改CDS内容的指导性文件。
  • 成员有32个:8家医疗机构、10家学术机构和14家供应商

Knowledge Management知识管理

  • 构建了CDS知识管理门户网站
  • 开发了知识门户发布协议和用户协议
  • 发布了111种制品:19种Level1的 3个L2的,33个L3的,56个L4的制品
  • 发布内容来自
    • Structured Care Recommendations (eRecs).
    • Advancing CDS (ACDS) project content, funded by ONC, in the CDS Consortium L3 format.
    • L1 artifacts were retrieved from the Centers for Disease and Control (CDC) website and pertain to their CDS immunizations initiative, which includes suggested schedules for immunizations in all patient populations.
  • 开发了eRoom 协作平台
  • 开发了知识管理和CDS网站评估工具
  • 对CDS联盟成员的知识管理生命周期进行了评估
    • The state of the art in clinical knowledge management: An inventory of tools and techniques
    • Identifying best practices for clinical decision support and knowledge management in the field
    • Comparison of clinical knowledge management capabilities of commercially-available and leading internally-developed electronic health records
    • Recommended practices for computerized clinical decision support and knowledge management in community settings: a qualitative study
    • Studying the Vendor Perspective on Clinical Decision Support
    • Clinical decision support in small community practice settings: a case study
    • Multiple Perspectives on the Meaning of Clinical Decision Support
  • 项目实施前后 对厂商和客户进行实地考察
    • Using a Service Oriented Architecture Approach to Clinical Decision Support: Performance Results from Two CDS Consortium Demonstrations
    • Standard practices for computerized clinical decision support in community hospitals: a national survey
    • A pilot study of distributed knowledge management and clinical decision support in the cloud

Knowledge Translation and Specification

  • 定义了一个四层知识框架: A multi-layered framework for disseminating knowledge for computer-based decision support
    • 开发了表达病人信息和临床指南的模型
    • 可以表达规则、文档模板、医嘱套餐和infobutton等特殊内容的schema
  • 开发了web形式的知识管理工具(KAT).

    CDS Services

  • 将CDS联盟现有的基于web的CDS服务升级为企业级临床规则服务ECRS
  • 完成了CCD factory的开发和测试
  • 为后续开发实现提供了详尽的文档
  • 在Longitudinal Medical Record(LMR) at Partners HealthCare (PHS), Careweb EHR at Regenstrief Institute (RI), and NextGen's EHR at WVP Health Authority实现了CDS服务
  • 开发了服务集成和内容共享的框架:A legal framework to enable sharing of Clinical Decision Support knowledge and services across institutional boundaries

Demonstrations试点

  • 完成了在PHS和RI第一阶段第二阶段的试点
  • 进行了跨机构的服务性能和可用性评估

Dashboards

  • 开发了供应商和设计人员的dashboards
  • 开发了CDS Dashboard开发指南 (DDG).
  • 完成了通用型和PHS中针对冠状动脉疾病、高血压和糖尿病的dashborad规范。
  • 利用开源dashborad程序开发了dashboard原型

Recommendations

  • 针对CDS相关标准规范 给出了一些建议
    • A Set of Preliminary Standards Recommended for Achieving a National Repository of Clinical Decision Support Interventions
    • A Conceptual Architecture for National Standards-based Clinical Decision Support Integration and Syndication
  • 针对CDS可靠性以及合法性问题给出了一些建议
    • Implementation recommendations related to the legal and liability issues surrounding clinical decision support
  • 对于相关利益方给出了一系列最佳实践和建议
    • Recommendations for the ONC Health Information Technology Policy Committee
    • Recommendations for Quality Measure Developers Regarding Translation of Clinical Knowledge
    • Recommendations for Medical Specialty Societies Regarding Adoption and Use of State-of-the-Art Electronic Health Records with Point-of-Care Clinical Decision Support
    • Governance for clinical decision support: case studies and recommended practices from leading institutions
    • The state of the art in clinical knowledge management: An inventory of tools and techniques
    • Identifying best practices for clinical decision support and knowledge management in the field
    • Comparison of clinical knowledge management capabilities of commercially-available and leading internally-developed electronic health records
    • Development and evaluation of a comprehensive clinical decision support taxonomy: comparison of front-end tools in commercial and internally developed electronic health record systems