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Clinical Decision Support: The Experience at Brigham and Women’s Hospital/Partners HealthCare

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Clinical Decision Support Systems

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Abstract

In this chapter, we review clinical decision support systems (CDSS) at Brigham and Women’s Hospital (BWH), including design, implementation, and evaluation. BWH has over 40 years active experience in the development of clinical information systems. Here we focus specifically on BWH’s work in assessing the impact of CDSS in critical areas of patient safety, quality, and cost outcomes, and offer generalizable lessons for current and future applications of CDSS. CDSS examined include both inpatient and outpatient systems, medication related, laboratory and radiology decision support as well as documentation-related CDSS, clinical reminders, and patient-centric applications. Also included are descriptions of studies on the impact on the user and cost-effectiveness of CDSS.

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Author information

Authors and Affiliations

  1. Clinical and Quality Analysis, Information Systems, Partners HealthCare System, Inc., 93 Worcester Street, Suite 201, Wellesley, MA, 02481, USA

    Paul Varghese M.D., Adam Wright M.S., Ph.D., Jan Marie Andersen M.A. & David W. Bates M.D., M.Sc.

  2. Division of General Internal Medicine and Primary Care, Brigham and Women’s Hospital, 1620 Tremont Street - OBC-3, Boston, MA, 02120, USA

    Paul Varghese M.D., Adam Wright M.S., Ph.D., Jan Marie Andersen M.A. & David W. Bates M.D., M.Sc.

  3. Department of Medicine, Harvard Medical School, 75 Francis Street, Boston, MA, 02115, USA

    Paul Varghese M.D., Adam Wright M.S., Ph.D. & David W. Bates M.D., M.Sc.

  4. Partners eCare, Partners Healthcare System Inc., 93 Worcester Street, Wellesley, MA, 02481, USA

    Eileen I. Yoshida B.Sc.Phm., M.B.A.

Authors
  1. Paul Varghese M.D.
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  2. Adam Wright M.S., Ph.D.
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  3. Jan Marie Andersen M.A.
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  4. Eileen I. Yoshida B.Sc.Phm., M.B.A.
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  5. David W. Bates M.D., M.Sc.
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Correspondence to Adam Wright M.S., Ph.D. .

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Editors and Affiliations

  1. School of Health Professions, Department of Health Services Administration and Department of Medical Education, School of Medicine, University of Alabama at Birmingham , Birmingham, Alabama, USA

    Eta S. Berner

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Varghese, P., Wright, A., Andersen, J.M., Yoshida, E.I., Bates, D.W. (2016). Clinical Decision Support: The Experience at Brigham and Women’s Hospital/Partners HealthCare. In: Berner, E. (eds) Clinical Decision Support Systems. Health Informatics. Springer, Cham. https://doi.org/10.1007/978-3-319-31913-1_13

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  • DOI: https://doi.org/10.1007/978-3-319-31913-1_13

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