Observations—What Committee Members Saw

Consequences—Why the Observations Matter

Opportunities for Action—What We Can Do About Ita

Category 1. The Medical Record Itself (continued)

3

Systems are used most often to document what has been done, frequently hours after the fact

  • Missed opportunity for decision or workflow support

  • Variable completeness and accuracy

  • Redundant work

  • See Category 5, observation 19 (C5O19)

4

Support for evidence-based medicine and computer-based advice is rare

  • Lost opportunity to provide patient-specific decision support

  • Peer-to-peer and social networking techniques for development of guidelines and decision support content (S/R)

  • Mass customization techniques for practice guidelines (modules) (R)

  • Computable knowledge structures and models (R)

Category 2. The Health Care Delivery Process

5

High complexity and coordination requirements of care

  • Within teams

  • Across teams and services within settings

  • Across settings

  • Reactive care

  • Handoff errors

  • Redundant care

  • Dynamically computable models to represent plan for care, workflow, escalation, and so on (R)



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