A review of evaluation literature concerning CDSSs indicates that randomized controlled
clinical trials (RCTs) are the 'gold standard'for evaluation. While this approach is excellent …

People and organizational issues are critical in both implementing medical informatics
systems and in dealing with the altered organizations that new systems often create. The …

When the first edition of Clinical Decision Support Systems was published in 1999, I began
the preface with the statement,“We are at the beginning of a new era in the application of …

Abstract With the United States joining other countries in national efforts to reap the many
benefits that use of health information technology can bring for health care quality and …

New system design and evaluation methodologies are being developed to address social,
organizational, political, and other non-technological issues in medical informatics. This …

Aims: Evaluating large scale health information systems (HIS) such as hospital systems can
be difficult. This article discusses the reasons we need to evaluate these systems and a …

The authors describe a pragmatic approach to the introduction of clinical decision support at
the point of care, based on a decade of experience in developing and evolving Vanderbilt's …

Objective: To measure the attitudes of physicians and nurses who use the Health Evaluation
through Logical Processing (HELP) clinical information system. Design: Questionnaire …

Background: Progress in the medical sciences, together with related technologies, in the
past has led to higher specialization and has created a strong need to exchange health …

Healthcare organizations are often organized in a modular, loosely coupled fashion where
separate and semi-autonomous work units specialize in different areas of care delivery. This …