“…Computerized provider order entry is an attractive vehicle for delivery of evidence-based clinical guideline information at the point of care. 26,27 Various methods of presentation of guideline information have been reported, including context-specific links to intranet or Internet information sources, 28 immediate feedback during the ordering process, 29 printed reminders during routine outpatient visits, 30 alerts and reminders triggered by orders, 16 and the use of order-sets that are consistent with guidelines. 31 Full realization of the potential for integrated guidance with CPOE remains limited by the difficulty of representing guideline knowledge in computerized order entry systems, 32,33 lack of structured, patient-specific information available for computer analysis at the point of care, and provider perceptions that the computer generated suggestions are strictly related to attempts at cost-reduction rather than quality of care.…”