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)


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)


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


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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