Use of a remote clinical decision support service for a multicenter trial to implement prediction rules for children with minor blunt head trauma

Highlights • We describe use of CDS services in a trial of blunt head trauma prediction rules. • We evaluate the execution characteristics of the system at two emergency departments. • The CDS service was the source of recommendations in 60% of real-time workflows. • The CDS service was the source o...

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Bibliographic Details
Published inInternational journal of medical informatics (Shannon, Ireland) Vol. 87; pp. 101 - 110
Main Authors Goldberg, Howard S, Paterno, Marilyn D, Grundmeier, Robert W, Rocha, Beatriz H, Hoffman, Jeffrey M, Tham, Eric, Swietlik, Marguerite, Schaeffer, Molly H, Pabbathi, Deepika, Deakyne, Sara J, Kuppermann, Nathan, Dayan, Peter S
Format Journal Article
LanguageEnglish
Published Ireland Elsevier Ireland Ltd 01.03.2016
Subjects
Adolescent
Brain Injuries - diagnosis
Case Management
Child
Child, Preschool
Clinical decision support
Clinical trial
Decision Support Systems, Clinical - utilization
Electronic Health Records - utilization
Emergency Service, Hospital - standards
Female
Humans
Infant
Infant, Newborn
Internal Medicine
Interoperability
Male
Other
Remote Consultation - utilization
Service-oriented architecture
Traumatic brain injury
Clinical trial
Traumatic brain injury
Clinical decision support
Service-oriented architecture
Interoperability
Standards
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Summary:Highlights • We describe use of CDS services in a trial of blunt head trauma prediction rules. • We evaluate the execution characteristics of the system at two emergency departments. • The CDS service was the source of recommendations in 60% of real-time workflows. • The CDS service was the source of recommendations in all near-real-time workflows. • Evolving CDS services facilitate sharing of CDS in selected clinical settings.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
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ISSN:1386-5056
1872-8243
DOI:10.1016/j.ijmedinf.2015.12.002