Clinical Decision Support Systems: The Fascination with Closed-Loop Control

Gardner, Reed M.

doi:10.1055/s-0038-1638631

Cited by 1 publication

(1 citation statement)

References 52 publications

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“…In engineering, a closed-loop control system is one in which feedback is needed to control the states or outputs of a dynamic system [ 90 ]. Often used in decision support systems, [ 91 , 92 ] closed-loop control can improve electronic referrals by ensuring that communication is coupled with timely and appropriate feedback. Effectively closing the loop on all outpatient referral communication requires considerable resources and efforts from all stakeholders; however, EHRs can help to close the referral communication loop in multiple ways.…”

Section: Recommendation #8: Close the Communication Loop By Providingmentioning

confidence: 99%

Improving the Effectiveness of Electronic Health Record-Based Referral Processes

Esquivel

Sittig

Murphy

et al. 2012

BMC Med Inform Decis Mak

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Electronic health records are increasingly being used to facilitate referral communication in the outpatient setting. However, despite support by technology, referral communication between primary care providers and specialists is often unsatisfactory and is unable to eliminate care delays. This may be in part due to lack of attention to how information and communication technology fits within the social environment of health care. Making electronic referral communication effective requires a multifaceted “socio-technical” approach. Using an 8-dimensional socio-technical model for health information technology as a framework, we describe ten recommendations that represent good clinical practices to design, develop, implement, improve, and monitor electronic referral communication in the outpatient setting. These recommendations were developed on the basis of our previous work, current literature, sound clinical practice, and a systems-based approach to understanding and implementing health information technology solutions. Recommendations are relevant to system designers, practicing clinicians, and other stakeholders considering use of electronic health records to support referral communication.

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Section: Recommendation #8: Close the Communication Loop By Providingmentioning

confidence: 99%