A computerised decision support system for cardiovascular risk management 'live' in the electronic health record environment: development, validation and implementation-the Utrecht Cardiovascular Cohort Initiative

Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation
T K J GroenhofMembers of the UCC-CVRM Study Group

Abstract

We set out to develop a real-time computerised decision support system (CDSS) embedded in the electronic health record (EHR) with information on risk factors, estimated risk, and guideline-based advice on treatment strategy in order to improve adherence to cardiovascular risk management (CVRM) guidelines with the ultimate aim of improving patient healthcare. We defined a project plan including the scope and requirements, infrastructure and interface, data quality and study population, validation and evaluation of the CDSS. In collaboration with clinicians, data scientists, epidemiologists, ICT architects, and user experience and interface designers we developed a CDSS that provides 'live' information on CVRM within the environment of the EHR. The CDSS provides information on cardiovascular risk factors (age, sex, medical and family history, smoking, blood pressure, lipids, kidney function, and glucose intolerance measurements), estimated 10-year cardiovascular risk, guideline-compliant suggestions for both pharmacological and non-pharmacological treatment to optimise risk factors, and an estimate on the change in 10-year risk of cardiovascular disease if treatment goals are adhered to. Our pilot study identified a number of iss...Continue Reading

References

Oct 1, 1993·Medical Decision Making : an International Journal of the Society for Medical Decision Making·F A Sonnenberg, J R Beck
Oct 27, 1999·JAMA : the Journal of the American Medical Association·M D CabanaH R Rubin
Mar 14, 2009·Clinical Chemistry·Kristel J M JanssenKarel G M Moons
Jan 15, 2011·Journal of the American Medical Informatics Association : JAMIA·S Trent RosenbloomKevin B Johnson
Jun 27, 2012·Journal of the American Medical Informatics Association : JAMIA·Nicole Gray Weiskopf, Chunhua Weng
Feb 11, 2015·BMJ : British Medical Journal·K HemmingR J Lilford
Aug 1, 2015·Journal of the American College of Cardiology·Thomas M Maddox, T Bruce Ferguson
Oct 20, 2015·American Journal of Preventive Medicine·Gibril J NjieUNKNOWN Community Preventive Services Task Force
Apr 1, 2016·BMJ : British Medical Journal·Jannick A N DorresteijnPaul M Ridker
Aug 25, 2016·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Manon C Stam-SlobStella Trompet
Sep 13, 2016·Annals of Internal Medicine·Mohammed Y KhanjiM G Myriam Hunink
Oct 4, 2016·Revista Española De Cardiología·Massimo F PiepoliW M Monique Verschuren
Dec 13, 2016·Journal of Biomedical Informatics·Szymon WilkMounira Kezadri-Hamiaz
May 4, 2018·Health Information Management : Journal of the Health Information Management Association of Australia·Monique F Kilkenny, Kerin M Robinson
Oct 30, 2018·Journal of the American Heart Association·Lotte KaasenbroodFrank L J Visseren
Mar 20, 2019·Journal of Medical Internet Research·Tim BezemerSaskia Haitjema
Jun 12, 2019·BMC Medical Informatics and Decision Making·T Katrien J GroenhofUNKNOWN UCC-SMART study group

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Citations

Aug 23, 2019·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·J Verjans, T Leiner
Jan 23, 2021·Journal of Clinical Epidemiology·Steven Willem Joost NijmanThomas P A Debray

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