Clinical Decision Support Tools in the Electronic Medical Record
Overview
Affiliations
The integration of clinical decision support (CDS) tools into electronic medical record (EMR) systems has become common. Although there are many benefits for both patients and providers from successful integration, barriers exist that prevent consistent and effective use of these tools. Such barriers include tool alert fatigue, lack of interoperability between tools and medical record systems, and poor acceptance of tools by care providers. However, successful integration of CDS tools into EMR systems have been reported; examples of these include the Statin Choice Decision Aid, and the Kidney Failure Risk Equation (KFRE). This article reviews the history of EMR systems and its integration with CDS tools, the barriers preventing successful integration, and the benefits reported from successful integration. This article also provides suggestions and strategies for improving successful integration, making these tools easier to use and more effective for care providers.
Chen W, Howard K, Gorham G, Abeyaratne A, Zhao Y, Adegboye O Kidney Int Rep. 2025; 10(2):549-564.
PMID: 39990899 PMC: 11843118. DOI: 10.1016/j.ekir.2024.10.028.
Dadlani A, Mills J, Strawn J J Psychiatr Pract. 2025; 31(1):35-41.
PMID: 39836680 PMC: 11745757. DOI: 10.1097/PRA.0000000000000831.
Okada A, Aso S, Kurakawa K, Inoue R, Watanabe H, Sasabuchi Y Clin Kidney J. 2024; 17(11):sfae321.
PMID: 39564392 PMC: 11574387. DOI: 10.1093/ckj/sfae321.
Andersson-Emad J, Thunholm A, Nash S, Evans M, Lind Af Hageby S, Arnlov J BMC Nephrol. 2024; 25(1):408.
PMID: 39538192 PMC: 11562349. DOI: 10.1186/s12882-024-03852-z.
Iatridi F, Carrero J, Cornec-Le Gall E, Kanbay M, Luyckx V, Shroff R Nephrol Dial Transplant. 2024; 40(2):273-282.
PMID: 39299913 PMC: 11792658. DOI: 10.1093/ndt/gfae209.