@article {1653579,
	title = {Computer clinical decision support that automates personalized clinical care: a challenging but needed healthcare delivery strategy},
	journal = {J Am Med Inform Assoc},
	volume = {30},
	number = {1},
	year = {2022},
	month = {2022 Dec 13},
	pages = {178-194},
	abstract = {How to deliver best care in various clinical settings remains a vexing problem. All pertinent healthcare-related questions have not, cannot, and will not be addressable with costly time- and resource-consuming controlled clinical trials. At present, evidence-based guidelines can address only a small fraction of the types of care that clinicians deliver. Furthermore, underserved areas rarely can access state-of-the-art evidence-based guidelines in real-time, and often lack the wherewithal to implement advanced guidelines. Care providers in such settings frequently do not have sufficient training to undertake advanced guideline implementation. Nevertheless, in advanced modern healthcare delivery environments, use of eActions (validated clinical decision support systems) could help overcome the cognitive limitations of overburdened clinicians. Widespread use of eActions will require surmounting current healthcare technical and cultural barriers and installing clinical evidence/data curation systems. The authors expect that increased numbers of evidence-based guidelines will result from future comparative effectiveness clinical research carried out during routine healthcare delivery within learning healthcare systems.},
	keywords = {Computers, Decision Support Systems, Clinical, Delivery of Health Care},
	issn = {1527-974X},
	doi = {10.1093/jamia/ocac143},
	author = {Morris, Alan H and Horvat, Christopher and Stagg, Brian and Grainger, David W and Lanspa, Michael and Orme, James and Clemmer, Terry P and Weaver, Lindell K and Thomas, Frank O and Grissom, Colin K and Hirshberg, Ellie and East, Thomas D and Wallace, Carrie Jane and Young, Michael P and Sittig, Dean F and Suchyta, Mary and Pearl, James E and Pesenti, Antinio and Bombino, Michela and Beck, Eduardo and Sward, Katherine A and Weir, Charlene and Phansalkar, Shobha and Bernard, Gordon R and Thompson, B Taylor and Brower, Roy and Truwit, Jonathon and Steingrub, Jay and Hiten, R Duncan and Willson, Douglas F and Zimmerman, Jerry J and Nadkarni, Vinay and Randolph, Adrienne G and Curley, Martha A Q and Newth, Christopher J L and Lacroix, Jacques and Agus, Michael S D and Lee, Kang Hoe and deBoisblanc, Bennett P and Moore, Frederick Alan and Evans, R Scott and Sorenson, Dean K and Wong, Anthony and Boland, Michael V and Dere, Willard H and Crandall, Alan and Facelli, Julio and Huff, Stanley M and Haug, Peter J and Pielmeier, Ulrike and Rees, Stephen E and Karbing, Dan S and Andreassen, Steen and Fan, Eddy and Goldring, Roberta M and Berger, Kenneth I and Oppenheimer, Beno W and Ely, E Wesley and Pickering, Brian W and Schoenfeld, David A and Tocino, Irena and Gonnering, Russell S and Pronovost, Peter J and Savitz, Lucy A and Dreyfuss, Didier and Slutsky, Arthur S and Crapo, James D and Pinsky, Michael R and James, Brent and Berwick, Donald M}
}
