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Taking a Thoughtful Approach to Clinical Decision Support: The Right Information to the Right Person at the Right Time

JurongHealth Campus in Singapore overhauled its approach to clinical decision support design, reducing interruptive advisories by 60% and saving clinicians an estimated 3,600 hours annually.

JurongHealth Campus (JHC) was the first organization in Singapore to launch Epic when it went live in 2015. Made up of Ng Teng Fong General Hospital, Jurong Community Hospital, and Jurong Medical Centre, the organization is part of the country’s Ministry of Health. JHC saved clinicians roughly 3,600 hours per year and increased the effectiveness of its CDS by optimizing just a few CDS advisories. Through this project, it saw a 60% reduction in the total number of interruptive advisories, and the percentage of advisories on which clinicians took action increased from 8% to 55%.

How They Did It

  • Systematically identified advisories that appeared most but were acted on least
  • Gathered feedback about the advisories from a multidisciplinary CDS committee and clinical champions
  • Evaluated the advisories against the “CDS five rights” framework

Read the full article on EpicShare