Health Affairs, 26, no. 2 (2007): w181-w191
(Published online 26 January 2007)
doi: 10.1377/hlthaff.26.2.w181
© 2007 by Project HOPE
 
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Bridging The Inferential Gap: The Electronic Health Record And Clinical Evidence

Walter F. Stewart, Nirav R. Shah, Mark J. Selna, Ronald A. Paulus and James M. Walker

Most clinical decisions involve bridging the inferential gap: Clinicians are required to "fill in" where they lack knowledge or where no knowledge yet exists. In this context we consider how the inferential gap is a product, in part, of how knowledge is created, the limits to gaining access to such knowledge, and the variable ways in which knowledge is translated into decisions. We consider how electronic health records (EHRs) will help narrow this gap by accelerating the creation of evidence relevant to everyday practice needs and facilitating real-time use of knowledge in practice.


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J. B. Perlin and J. Kupersmith
Information Technology And The Inferential Gap
Health Aff., March 1, 2007; 26(2): w192 - w194.
[Abstract] [Full Text] [PDF]