Paper Info
Title
Using electronic health record alerts to provide public health situational awareness to clinicians.
Abstract
Alerting providers to public health situations requires timeliness and context-relevance, both lacking in current systems. Incorporating decision support tools into electronic health records may provide a way to deploy public health alerts to clinicians at the point of care. A timely process for responding to Health Alert Network messages sent by the New York City Department of Health and Mental Hygiene was developed by a network of community health centers. Alerts with order sets and recommended actions were created to notify primary care providers of local disease outbreaks. The process, effect, and lessons learned from alerts for Legionella, toxogenic E coli, and measles outbreaks are described. Electronic alerts have the potential to improve management of diseases during an outbreak, including appropriate laboratory testing, management guidance, and diagnostic assistance as well as to enhance bidirectional data exchange between clinical and public health organizations.
Year
DOI
Venue
2010
10.1136/jamia.2009.000539
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
Keywords
Field
DocType
disease outbreak,public health,point of care,situation awareness
Public health,Point of care,Situation awareness,Decision support system,Knowledge management,Community health,Environmental health,Medical record,Medical emergency,Hygiene,Laboratory testing,Medicine
Journal
Volume
Issue
ISSN
17
2
1067-5027
Citations 
PageRank 
References 
7
0.85
1
Authors
9
Name
Order
Citations
PageRank
Joseph Lurio170.85
Frances P. Morrison2414.71
Michelle Pichardo370.85
Rachel Berg470.85
Michael D Buck591.28
Winfred Wu6111.83
Kwame Kitson770.85
Farzad Mostashari871.86
Neil Calman9112.27