naa a22 4500 510780008 CHVBK 20180411083243.0 cr unu---uuuuu 180411e20130401xx s 000 0 eng 10.1007/s11892-012-0350-z doi (NATIONALLICENCE)springer-10.1007/s11892-012-0350-z Current Status and Future Prospects for Electronic Point-of-Care Clinical Decision Support in Diabetes Care [Elektronische Daten] [Patrick O'Connor, Jay Desai, John Butler, Elyse Kharbanda, JoAnn Sperl-Hillen] Early efforts to use point-of-care clinical decision support (CDS) were limited to the use of prompts and reminders, which improved test ordering but not intermediate outcomes of care, such as glucose, blood pressure, or lipid levels. More sophisticated diabetes CDS tools are now available that use electronic medical record data to provide patient-specific advice on medication use on the basis of previous treatment, distance from goal, and other clinical data. These tools have shown modest but significant improvement in glucose and blood pressure control. Promising next-generation developments will include prioritizing clinical actions that have maximum benefit to a given patient at the point of care and developing effective methods to communicate CDS information to patients to better incorporate patient preferences in care decisions. Springer Science+Business Media New York, 2012 Health informatics nationallicence Electronic health records nationallicence Chronic disease care nationallicence Diabetes nationallicence Hypertension nationallicence Heart disease nationallicence Cardiovascular risk nationallicence O'Connor Patrick HealthPartners Institute for Education and Research, 8170 33rd Ave. S., Mail stop 21111R, 55425, Minneapolis, MN, USA aut Desai Jay HealthPartners Institute for Education and Research, 8170 33rd Ave. S., Mail stop 21111R, 55425, Minneapolis, MN, USA aut Butler John HealthPartners Medical Group, Minneapolis, MN, USA aut Kharbanda Elyse HealthPartners Institute for Education and Research, 8170 33rd Ave. S., Mail stop 21111R, 55425, Minneapolis, MN, USA aut Sperl-Hillen JoAnn HealthPartners Institute for Education and Research, 8170 33rd Ave. S., Mail stop 21111R, 55425, Minneapolis, MN, USA aut Current Diabetes Reports Current Science Inc. 13/2(2013-04-01), 172-176 1534-4827 13:2<172 2013 13 11892 https://doi.org/10.1007/s11892-012-0350-z text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11892-012-0350-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- O'Connor Patrick HealthPartners Institute for Education and Research, 8170 33rd Ave. S., Mail stop 21111R, 55425, Minneapolis, MN, USA aut NATIONALLICENCE 700 1- Desai Jay HealthPartners Institute for Education and Research, 8170 33rd Ave. S., Mail stop 21111R, 55425, Minneapolis, MN, USA aut NATIONALLICENCE 700 1- Butler John HealthPartners Medical Group, Minneapolis, MN, USA aut NATIONALLICENCE 700 1- Kharbanda Elyse HealthPartners Institute for Education and Research, 8170 33rd Ave. S., Mail stop 21111R, 55425, Minneapolis, MN, USA aut NATIONALLICENCE 700 1- Sperl-Hillen JoAnn HealthPartners Institute for Education and Research, 8170 33rd Ave. S., Mail stop 21111R, 55425, Minneapolis, MN, USA aut NATIONALLICENCE 773 0- Current Diabetes Reports Current Science Inc 13/2(2013-04-01), 172-176 1534-4827 13:2<172 2013 13 11892 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer