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12/14/2011
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Neil Versel
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10 Innovative Clinical Decision Support Programs

What provides the smarts behind an advanced implementation of electronic health records? Clinical decision support systems. It may be time to revisit your CDS vendor options.
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Diagnostic decision support vendor Isabel Healthcare grew out of a distinctly different culture in the U.K. After his three-year-old daughter Isabel nearly died from a missed diagnosis at a London hospital in 1999, Jason Maude didn't sue for malpractice. He joined with attending physician Dr. Joseph Britto to develop a system that could prevent similar errors.

The Isabel system offers a Web-based checklist to help clinicians process symptoms and test results to arrive at an accurate diagnosis, offering possibilities that are so uncommon that a physician might only see it a couple of times during a career. (Maude's daughter Isabel had necrotizing fasciitis, the same rare, flesh-eating bacterial disease that Dr. Atul Gawande famously described in his book, "Complications: A Surgeon's Notes on an Imperfect Science.")

Isabel, which has a database of more than 100,000 documents and "knowledge kernels," works as a standalone app or it can be integrated with an EHR to draw data directly from the patient's record.

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PeterO785
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PeterO785,
User Rank: Apprentice
1/4/2014 | 8:24:17 AM
re: 10 Innovative Clinical Decision Support Programs
Good article but more decision support tools should be considered: VisualDx, GIDEON, IBM Watson, DxMate, SimulConsult, Symcat or a couple of others.
TRICHARDSON000
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TRICHARDSON000,
User Rank: Apprentice
5/8/2012 | 7:55:32 PM
re: 10 Innovative Clinical Decision Support Programs
Larry Weed has been doing Clinical Decision Support longer than many of us has been alive. Some of his ideas are so integral now that we forget how revolutionary they were back in 1968 when he first publicized SOAP notes in the the Problem Oriented Medical Record.

He is a giant. If we can see further it is by standing on his shoulders.

Tim Richardson, PT
www.PhysicalTherapyDiagnosis.c...
Lisa Henderson
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Lisa Henderson,
User Rank: Apprentice
12/19/2011 | 7:48:35 PM
re: 10 Innovative Clinical Decision Support Programs
Some really good apps, but I love the background story on this one. Probably wouldn't happen in the U.S. though, money before innovation.

Lisa Henderson, InformationWeek Healthcare, contributing editor
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