DOI: 10.1097/hep.0000000000000583 ISSN:
Clinical decision support and electronic interventions to improve care quality in chronic liver diseases and cirrhosis
Jin Ge, Valy Fontil, Sara Ackerman, Mark J. Pletcher, Jennifer C. Lai- Hepatology
Significant quality gaps exist in the management of chronic liver diseases and cirrhosis. Clinical decision support (CDS) systems—information-driven tools based in and launched from the electronic health record—are attractive and potentially scalable prospective interventions that could help standardize clinical care in hepatology. Yet, CDS systems have had a mixed record in clinical medicine due to issues with interoperability and compatibility with clinical workflows. In this review, we discuss the conceptual origins of CDS systems, existing applications in liver diseases, issues and challenges with implementation, and emerging strategies to improve their integration in hepatology care.