Jump to content

  • Set Your Location
  • Sign in or Enroll
Set Your LocationSutter Maternity & Surgery Center of Santa Cruz
  • Sign in or Enroll
    • Open I want to choose my medical group or hospital
    • Clear my location
Change Location
Sutter Health
  • Video Visits
  • Find Doctors
  • Find Locations
  • Treatments & Services
    • Video Visits
    • Find Doctors
    • Find Locations
    • Treatments & Services
    • COVID-19 Resources
    • Pay a Bill
    • Symptom Checker
    • Get Care Today
    • Health & Wellness
    • Classes & Events
    • Research & Clinical Trials
    • For Patients
    • About Sutter Health
    • Giving
    • Volunteering
    • Careers
    • News
    • For Medical Professionals
    • Other Business Services
Close Search
  • Home
  • Sutter Maternity & Surgery Center
  • Research
  • Disease Management
Content

Beyond the threshold: real-time use of evidence in practice.

Description

Jones JB, Stewart WF, Darer JD, Sittig DF., BMC Med Inform Decis Mak. 13:47. doi: 10.1186/1472-6947-13-47., 2013 Apr 15

Investigators

J.B. Jones, PhD, MBA

Abstract

In two landmark reports on Quality and Information Technology, the Institute of Medicine described a 21st century healthcare delivery system that would improve the quality of care while reducing its costs. To achieve the improvements envisioned in these reports, it is necessary to increase the efficiency and effectiveness of the clinical decision support that is delivered to clinicians through electronic health records at the point of care.

To make these dramatic improvements will require significant changes to the way in which clinical practice guidelines (CPGs) are developed, incorporated into existing electronic health records (EHR), and integrated into clinicians' workflow at the point of care.

In this paper, we: 1) discuss the challenges associated with translating evidence to practice; 2) consider what it will take to bridge the gap between the current limits to use of CPGs and expectations for their meaningful use at the point of care in practices with EHRs; 3) describe a framework that underlies CDS systems which, if incorporated in the development of CPGs, can be a means to bridge this gap, 4) review the general types and adoption of current CDS systems, and 5) describe how the adoption of EHRs and related technologies will directly influence the content and form of CPGs. Achieving these objectives should result in improvements in the quality and reductions in the cost of healthcare, both of which are necessary to ensure a 21st century delivery system that consistently provides safe and effective care to all patients.

Pubmed Abstract

Pubmed AbstractOpens New Window

Associated Topics

  • Disease Management
  • Medical Informatics

Related Publications

World Endometriosis Society consensus on the classification of endometriosis.

Johnson NP, Hummelshoj L, Adamson GD, Keckstein J, Taylor HS, Abrao MS, Bush D, Kiesel L, Tamimi R, Sharpe-Timms KL, Rombauts L, Giudice LC; for the World Endometriosis Society Sao Paulo Consortium.
Hum Reprod. [Epub ahead of print]
2016 Dec 05

Exploring provider reactions to decision aid distribution and shared decision making: lessons from two specialties.

Hsu C, Liss DT, Frosch DL, Westbrook EO, Arterburn D.
Med Decis Making. 37(1):113-126. Epub 2016 Oct 6.
2017 Jan 01

Improved targeting accuracy of lung tumor biopsies with scanning-beam digital x-ray tomosynthesis image guidance.

Nelson G, Wu M, Hinkel C, Krishna G, Funk T, Rosenberg J, Fahrig R.
Med Phys. 43(12):6282.
2016 Dec 01

An exploratory mixed-methods crossover study comparing DVD- vs. Web-based patient decision support in three conditions: The importance of patient perspectives.

Halley MC, Rendle KA, Gillespie KA, Stanley KM, Frosch DL.
Health Expect. 18(6):2880-91. doi: 10.1111/hex.12273. Epub 2014 Sep 29.
2015 Dec 01

Medial displacement calcaneal osteotomy: a comparison of screw versus locking plate fixation.

Saxena A, Patel R.
J Foot Ankle Surg. pii: S1067-2516(16)30162-4. doi: 10.1053/j.jfas.2016.06.006. [Epub ahead of print]
2016 Sep 15
The Sutter Health Network of Care
Expertise to fit your needs
Primary Care

Check-ups, screenings and sick visits for adults and children.

Specialty Care

Expertise and advanced technologies in all areas of medicine.

Emergency Care

For serious accidents, injuries and conditions that require immediate medical care.

Urgent Care

After-hours, weekend and holiday services.

Walk-In Care

Convenient walk-in care clinics for your non-urgent health needs.

  • Contact Us
  • Find Doctors
  • Find Locations
  • Request Medical Records
  • Make a Gift
Sign in to My Health Online

Billing and Insurance

  • Pay a Bill
  • Accepted Health Plans
  • Estimate Costs
  • Medicare Advantage

About Sutter

  • About Our Network
  • Community Benefit
  • Annual Report
  • News

Our Team

  • For Employees
  • For Medical Professionals
  • For Vendors
  • For Volunteers

Careers

  • Jobs at Sutter
  • Physician Jobs
  • Graduate Medical Education

Copyright © 2023 Sutter Health. All rights reserved. Sutter Health is a registered trademark of Sutter Health ®, Reg. U.S. Patent & Trademark office.

  • ADA Accessibility
  • Privacy
  • Do Not Sell My Personal Information
  • LinkedIn Opens new window
  • YouTube Opens new window
  • Facebook Opens new window
  • Twitter Opens new window
  • Instagram Opens new window
  • Glassdoor Opens new window

Cookie Policy

We use cookies to give you the best possible user experience. By continuing to use the site, you agree to the use of cookies. Privacy Policy Cookie Preferences

Privacy Policy Cookie Preferences