An Informatics Infrastructure Is Essential for Evidence-based Practice | Zendy

Suzanne Bakken | Zendy

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An Informatics Infrastructure Is Essential for Evidence-based Practice

Author(s) -

Suzanne Bakken

Publication year - 2001

Publication title -

journal of the american medical informatics association

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.614

H-Index - 150

eISSN - 1527-974X

pISSN - 1067-5027

DOI - 10.1136/jamia.2001.0080199

Subject(s) - health informatics , informatics , computer science , health administration informatics , health care , evidence based practice , evidence based medicine , data science , health information exchange , engineering informatics , unintended consequences , knowledge management , medline , medicine , political science , alternative medicine , health information , pathology , law

The contention of the author is that an informatics infrastructure is essential for evidenced-based practice. Five building blocks of an informatics infrastructure for evidence-based practice are proposed: 1) standardized terminologies and structures, 2) digital sources of evidence, 3) standards that facilitate health care data exchange among heterogeneous systems, 4) informatics processes that support the acquisition and application of evidence to a specific clinical situation, and 5) informatics competencies. Selected examples illustrate how each of these building blocks supports the application of evidence to practice and the building of evidence from practice. Although a number of major challenges remain, medical informatics can provide solutions that have the potential to decrease unintended variation in practice and health care errors.

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