Laura Marcial talks with us about making the tech sausage of Clinical Decision Support: Guidelines, evidence, rules, knowledge engineers. Clinical decision-making still depends on human trust time, talk, control, and connection.

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Episode Notes
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Introducing Laura Marcial 00:56. 1

What is Clinical Decision Support from the inside? 06:16. 2

Potential: Technology and CDS 11:25. 3

CDS: Making the sausage 18:12. 4

Tech driven decisions impact more people 23:52. 6

Out of touch with life? 27:18. 6

Upstream and downstream of the decision 31:57. 7

Realistic expectations of CDS 24:33. 8

Trust, trust, trust 38:26. 8

So what? Do I know more now? 38:54. 8

Reflections 44:10. 9

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Credits
Music by permission from Joey van Leeuwen, New Orleans Drummer, Composer

from Oliver 1968, Fagin singing I Think I Better Think It Out Again

Sponsored by Abridge

Thanks to these fine people who inspired me for this episode: Barry Blumenfeld, Blackford Middleton, Danny Sands, Edwin Lomotan, Frank Opelka, Geri Lynn Baumblatt, Ginny Meadows, Jerry Osheroff,  Jodyn Platt, Maria Michaels, Pat Mastors, Sharon Sebastion
Links
Oliver 1968, Fagin singing I Think I Better Think It Out Again

Agency for Healthcare Research and Quality, Clinical Decision Support
Related podcasts
https://health-hats.com/humanity-before-technology-clinical-decision-support/

https://health-hats.com/its-not-so-simple-making-treatment-choices/
About the Show
Welcome to Health Hats, learning on the journey toward best health. I am Danny van Leeuwen, a two-legged, old, cisgender, white man with privilege, living in a food oasis, who can afford many hats and knows a little about a lot of healthcare and a lot about very little. Most people wear hats one at a time, but I wear them all at once. I'm the Rosetta Stone of Healthcare. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all this.

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The Show
Introducing Laura Marcial
Several lifetime’s ago I led the implementation of a couple of electronic health records. Implementation means all that needs to be done to shift from a paper record system to an electronic one or changing electronic health records.