VA Connecticut Healthcare System West Haven, CT United States ; Center for Medical Informatics Yale University School of Medicine New Haven, CT United States ; Department of Anesthesiology Yale University School of Medicine New Haven, CT United States.
Baltimore VA Medical Center Baltimore, MD United States ; Department of Neurology University of Maryland School of Medicine Baltimore, MD United States.
JMIR Med Inform. 2014 Aug 18;2(2):e20. doi: 10.2196/medinform.3586. eCollection 2014 Jul.
Computer-based clinical decision support (CDS) is an important component of the electronic health record (EHR). As an increasing amount of CDS is implemented, it will be important that this be accomplished in a fashion that assists in clinical decision making without imposing unacceptable demands and burdens upon the provider's practice.
The objective of our study was to explore an approach that allows CDS to be clinician-friendly from a variety of perspectives, to build a prototype implementation that illustrates features of the approach, and to gain experience with a pilot framework for assessment.
The paper first discusses the project's design philosophy and goals. It then describes a prototype implementation (Neuropath/CDS) that explores the approach in the domain of neuropathic pain and in the context of the US Veterans Administration EHR. Finally, the paper discusses a framework for assessing the approach, illustrated by a pilot assessment of Neuropath/CDS.
The paper describes the operation and technical design of Neuropath/CDS, as well as the results of the pilot assessment, which emphasize the four areas of focus, scope, content, and presentation.
The work to date has allowed us to explore various design and implementation issues relating to the approach illustrated in Neuropath/CDS, as well as the development and pilot application of a framework for assessment.
基于计算机的临床决策支持（CDS）是电子健康记录（EHR）的重要组成部分。随着越来越多的 CDS 的实施，以一种在不向提供者的实践施加不可接受的要求和负担的情况下协助临床决策的方式来实现这一点将非常重要。
我们研究的目的是探索一种方法，从各种角度来看，使 CDS 对临床医生友好，构建一个原型实现，说明该方法的特点，并获得评估的试点框架的经验。
本文首先讨论了项目的设计理念和目标。然后描述了一个原型实现（神经病理/CDS），该实现探索了神经病理性疼痛领域和美国退伍军人事务部 EHR 中的方法。最后，本文讨论了评估方法的框架，并通过对神经病理/CDS 的试点评估进行了说明。
本文描述了神经病理/CDS 的操作和技术设计，以及试点评估的结果，重点强调了四个关注领域，范围，内容和演示。
迄今为止的工作使我们能够探索与神经病理/CDS 中所示方法相关的各种设计和实施问题，以及评估框架的开发和试点应用。
