Jeritt Thayer


Jeritt Thayer
Research Informatics Programmer
Department of Biomedical and Health Informatics > Children's Hospital of Philadelphia



With the widespread adoption of vendor-supplied electronic health record (EHR) systems, clinical decision support (CDS) customization efforts beyond those anticipated by the vendor may require the use of technologies external to the EHR such as web services. Pursuing such customizations, however, is not without risk. Validating the expected behavior of a customized CDS system in the high-volume, complex environment of the live EHR is a challenging problem.

This article identifies technology failures that impacted clinical care related to web service-based advanced custom CDS systems embedded in the complex sociotechnical context of a production EHR. The discussion explores the idea that advanced customization of EHRs for the purpose of CDS can present significant risks to clinical workflow.

Read the full article here.