Order sets are a commonly accepted form of clinical decision support (CDS) to improve clinical care. Paper checklists of clinical orders for medications, diagnostics, and procedures have existed for decades. Integration of these into the electronic health record has promised to make it easier for clinicians to provide evidence-based care that is tailored to specific patient situations. Unfortunately, many paper order sets have simply been transcribed into electronic systems, without design enhancements to take advantage of the unique potential of these systems. Inadequate attention to design, implementation, and study of electronic order sets has led to the unrealized promise of ...
Olson J, Hollenbeak C, Donaldson K, et al. Default settings of computerized physician order entry system order sets drive ordering habits. J Pathol Inform. 2015;6:16. [PMID: 25838968] doi:10.4103/2153-3539.153916 CrossrefMedlineGoogle Scholar
Goddard K, Roudsari A, Wyatt JC. Automation bias: a systematic review of frequency, effect mediators, and mitigators. J Am Med Inform Assoc. 2012;19:121-7. [PMID: 21685142] doi:10.1136/amiajnl-2011-000089 CrossrefMedlineGoogle Scholar
Li RC, Wang JK, Sharp C, et al. When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. BMJ Qual Saf. 2019;28:987-996. [PMID: 31164486] doi:10.1136/bmjqs-2018-008968 CrossrefMedlineGoogle Scholar
Campbell RJ. The five rights of clinical decision support: CDS tools helpful for meeting meaningful use. J AHIMA. 2013;84:42-47. MedlineGoogle Scholar
Chen JH, Goldstein MK, Asch SM, et al. Predicting inpatient clinical order patterns with probabilistic topic models vs conventional order sets. J Am Med Inform Assoc. 2017;24:472-480. [PMID: 27655861] doi:10.1093/jamia/ocw136 CrossrefMedlineGoogle Scholar
Author, Article, and Disclosure Information
Ron C. Li,
Center for Biomedical Informatics Research, Stanford University School of Medicine, Stanford, California (R.C.L., J.H.C.)
Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M20-5164.
Corresponding Author: Ron C. Li, MD, Stanford University, 1265 Welch Road x253, Stanford, CA 94305; e-mail, ronl@stanford.
Current Author Addresses: Dr. Li: Stanford University, 1265 Welch Road x253, Stanford, CA 94305.
Dr. Chen: Stanford University, 1265 Welch Road x213, Stanford, CA 94305.