Annals for Hospitalists Inpatient Notes - Realizing the Promises of Hospital Electronic Order Sets
Authors: Ron C. Li, Jonathan H. Chen
Journal: Annals of Internal Medicine (2020)

Web Exclusives18 August 2020Annals for Hospitalists Inpatient Notes - Realizing the Promises of Hospital Electronic Order SetsRon C. Li, MD and Jonathan H. Chen, MD, PhDRon C. Li, MDCenter for Biomedical Informatics Research, Stanford University School of Medicine, Stanford, California (R.C.L., J.H.C.)Search for more papers by this author and Jonathan H. Chen, MD, PhDCenter for Biomedical Informatics Research, Stanford University School of Medicine, Stanford, California (R.C.L., J.H.C.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M20-5164 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Order sets are a commonly accepted form of clinical decision support (CDS) to improve clinical care. Paper checklists of clinical orders for medications, diagnostics, and procedures have existed for decades. Integration of these into the electronic health record has promised to make it easier for clinicians to provide evidence-based care that is tailored to specific patient situations. Unfortunately, many paper order sets have simply been transcribed into electronic systems, without design enhancements to take advantage of the unique potential of these systems. Inadequate attention to design, implementation, and study of electronic order sets has led to the unrealized promise of ...References1. Olson J, Hollenbeak C, Donaldson K, et al. Default settings of computerized physician order entry system order sets drive ordering habits. J Pathol Inform. 2015;6:16. [PMID: 25838968] doi:10.4103/2153-3539.153916 CrossrefMedlineGoogle Scholar2. Goddard K, Roudsari A, Wyatt JC. Automation bias: a systematic review of frequency, effect mediators, and mitigators. J Am Med Inform Assoc. 2012;19:121-7. [PMID: 21685142] doi:10.1136/amiajnl-2011-000089 CrossrefMedlineGoogle Scholar3. Li RC, Wang JK, Sharp C, et al. When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. BMJ Qual Saf. 2019;28:987-996. [PMID: 31164486] doi:10.1136/bmjqs-2018-008968 CrossrefMedlineGoogle Scholar4. Campbell RJ. The five rights of clinical decision support: CDS tools helpful for meeting meaningful use. J AHIMA. 2013;84:42-47. MedlineGoogle Scholar5. Chen JH, Goldstein MK, Asch SM, et al. Predicting inpatient clinical order patterns with probabilistic topic models vs conventional order sets. J Am Med Inform Assoc. 2017;24:472-480. [PMID: 27655861] doi:10.1093/jamia/ocw136 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Center for Biomedical Informatics Research, Stanford University School of Medicine, Stanford, California (R.C.L., J.H.C.)Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M20-5164.Corresponding Author: Ron C. Li, MD, Stanford University, 1265 Welch Road x253, Stanford, CA 94305; e-mail, [email protected]edu.Current Author Addresses: Dr. Li: Stanford University, 1265 Welch Road x253, Stanford, CA 94305.Dr. Chen: Stanford University, 1265 Welch Road x213, Stanford, CA 94305. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAnnals for Hospitalists - 18 August 2020 David H. Wesorick and Vineet Chopra Metrics 18 August 2020Volume 173, Issue 4Page: HO2-HO3KeywordsBronchoscopyCOVID-19Clinical decision support systemsCongestive heart failureDisclosureElectronic medical recordsHospitalistsInpatientsPatient advocacyVasopressors ePublished: 18 August 2020 Issue Published: 18 August 2020 Copyright & PermissionsCopyright © 2020 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...