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Beyond the threshold: real-time use of evidence in practice

In two landmark reports on Quality and Information Technology, the Institute of Medicine described a 21st century healthcare delivery system that would improve the quality of care while reducing its costs. To achieve the improvements envisioned in these reports, it is necessary to increase the effic...

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Detalles Bibliográficos
Autores principales: Jones, James B, Stewart, Walter F, Darer, Jonathan D, Sittig, Dean F
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3639800/
https://www.ncbi.nlm.nih.gov/pubmed/23587225
http://dx.doi.org/10.1186/1472-6947-13-47
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author Jones, James B
Stewart, Walter F
Darer, Jonathan D
Sittig, Dean F
author_facet Jones, James B
Stewart, Walter F
Darer, Jonathan D
Sittig, Dean F
author_sort Jones, James B
collection PubMed
description In two landmark reports on Quality and Information Technology, the Institute of Medicine described a 21st century healthcare delivery system that would improve the quality of care while reducing its costs. To achieve the improvements envisioned in these reports, it is necessary to increase the efficiency and effectiveness of the clinical decision support that is delivered to clinicians through electronic health records at the point of care. To make these dramatic improvements will require significant changes to the way in which clinical practice guidelines are developed, incorporated into existing electronic health records (EHR), and integrated into clinicians’ workflow at the point of care. In this paper, we: 1) discuss the challenges associated with translating evidence to practice; 2) consider what it will take to bridge the gap between the current limits to use of CPGs and expectations for their meaningful use at the point of care in practices with EHRs; 3) describe a framework that underlies CDS systems which, if incorporated in the development of CPGs, can be a means to bridge this gap, 4) review the general types and adoption of current CDS systems, and 5) describe how the adoption of EHRs and related technologies will directly influence the content and form of CPGs. Achieving these objectives should result in improvements in the quality and reductions in the cost of healthcare, both of which are necessary to ensure a 21st century delivery system that consistently provides safe and effective care to all patients.
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spelling pubmed-36398002013-05-01 Beyond the threshold: real-time use of evidence in practice Jones, James B Stewart, Walter F Darer, Jonathan D Sittig, Dean F BMC Med Inform Decis Mak Correspondence In two landmark reports on Quality and Information Technology, the Institute of Medicine described a 21st century healthcare delivery system that would improve the quality of care while reducing its costs. To achieve the improvements envisioned in these reports, it is necessary to increase the efficiency and effectiveness of the clinical decision support that is delivered to clinicians through electronic health records at the point of care. To make these dramatic improvements will require significant changes to the way in which clinical practice guidelines are developed, incorporated into existing electronic health records (EHR), and integrated into clinicians’ workflow at the point of care. In this paper, we: 1) discuss the challenges associated with translating evidence to practice; 2) consider what it will take to bridge the gap between the current limits to use of CPGs and expectations for their meaningful use at the point of care in practices with EHRs; 3) describe a framework that underlies CDS systems which, if incorporated in the development of CPGs, can be a means to bridge this gap, 4) review the general types and adoption of current CDS systems, and 5) describe how the adoption of EHRs and related technologies will directly influence the content and form of CPGs. Achieving these objectives should result in improvements in the quality and reductions in the cost of healthcare, both of which are necessary to ensure a 21st century delivery system that consistently provides safe and effective care to all patients. BioMed Central 2013-04-15 /pmc/articles/PMC3639800/ /pubmed/23587225 http://dx.doi.org/10.1186/1472-6947-13-47 Text en Copyright © 2013 Jones et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Correspondence
Jones, James B
Stewart, Walter F
Darer, Jonathan D
Sittig, Dean F
Beyond the threshold: real-time use of evidence in practice
title Beyond the threshold: real-time use of evidence in practice
title_full Beyond the threshold: real-time use of evidence in practice
title_fullStr Beyond the threshold: real-time use of evidence in practice
title_full_unstemmed Beyond the threshold: real-time use of evidence in practice
title_short Beyond the threshold: real-time use of evidence in practice
title_sort beyond the threshold: real-time use of evidence in practice
topic Correspondence
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3639800/
https://www.ncbi.nlm.nih.gov/pubmed/23587225
http://dx.doi.org/10.1186/1472-6947-13-47
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