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Clinical Decision Support in the Management of Patients With Suspected Ebola Infection

Published online by Cambridge University Press:  10 April 2015

Adam B. Landman ,
Eric Goralnick  and
Jonathan M. Teich
Adam B. Landman*
Affiliation:
Brigham and Women’s Hospital and Harvard Medical School, Boston, MA
Eric Goralnick
Affiliation:
Brigham and Women’s Hospital and Harvard Medical School, Boston, MA
Jonathan M. Teich
Affiliation:
Brigham and Women’s Hospital and Harvard Medical School, Boston, MA Elsevier, Philadelphia, PA
*
Correspondence and reprint requests to Adam B. Landman, MD, MS, MIS, MHS, Department of Emergency Medicine, Brigham and Women’s Hospital, 75 Francis Street, Neville House, Boston, MA 02115 (e-mail: [email protected]).
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Abstract

Patients with suspected public health threats, such as Ebola, must be quickly identified and isolated on presentation to health care facilities. Patients can be screened by intake staff or other health care providers; however, perfect compliance is difficult to achieve. Well-designed, carefully placed clinical decision support (CDS) within the electronic health record can be a reliable partner in helping to rapidly identify, isolate, and care for patients with suspected Ebola infection and other emerging public health threats. We describe how different types of CDS can be applied in the clinical workflow and share how we implemented CDS to force Ebola screening upon patient presentation to our emergency department. (Disaster Med Public Health Preparedness. 2015;9:591–594)

Keywords

Ebolaelectronic health recordsclinical decision support
Type
Commentaries
Information
Disaster Medicine and Public Health Preparedness , Volume 9 , Issue 5 , October 2015 , pp. 591 - 594
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2015 

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References

1. Keneally, M, Candea, B. Texas hospital blames records flaw as reason Ebola patient was first released. ABC News. http://abcnews.go.com/Health/texas-hospital-blames-records-flaw-reason-ebola-patient/story?id=25912405. Published October 2, 2014. Accessed October 29, 2014.Google Scholar
2. Leape, LL. Error in medicine. JAMA. 1994;272(23):1851-1857.CrossRefGoogle ScholarPubMed
3. Osheroff, JA, Teich, JM, Levick, D, et al. Improving Outcomes with Clinical Decision Support: An Implementer's Guide. 2nd ed. HIMSS; 2012.Google Scholar
4. Friedman, CP. A “fundamental theorem” of biomedical informatics. J Am Med Inform Assoc. 2009;16(2):169-170.Google Scholar
5. Weingart, SN, Simchowitz, B, Shiman, L, et al. Clinicians’ assessments of electronic medication safety alerts in ambulatory care. Arch Intern Med. 2009;169(17):1627-1632.Google ScholarPubMed
6. Case definition for Ebola virus disease (EVD). US Centers for Disease Control and Prevention website. http://www.cdc.gov/vhf/ebola/healthcare-us/evaluating-patients/case-definition.html. Updated November 16, 2014. Accessed February 25, 2015.Google Scholar