Clinical Decision Support and Malpractice Risk


(The Journal of the American Medical Association)

A doctor using a laptop, photo by yacobchuk/Getty Images

Photo by yacobchuk/Getty Images

Clinical decision support (CDS) refers to electronic technology used to enhance clinical decision making. For example, computerized physician order entry with integrated CDS in principle offers an electronic layer of review for ordering prescriptions.

An important feature of CDS is automated warnings issued whenever potential drug interactions or other contraindications arise. In practice, however, CDS systems often have been overinclusive in the warnings they generate, to a point at which physician "alert fatigue" may in large part undermine the utility the systems offer....

The remainder of this op-ed can be found at

JAMA. 2011;306(1):90-91.

This commentary originally appeared in The Journal of the American Medical Association on July 6, 2011. Commentary gives RAND researchers a platform to convey insights based on their professional expertise and often on their peer-reviewed research and analysis.