Developing a patient-centered computerized clinical decision support system with patient-level outcome measures

Computerized clinical decision support systems (CDSS) are used to improve the quality of care by supporting real-time judgment, such as medication ordering and adherence to the guidelines [1–3]. With the widespread use of electronic medical records (EMRs), a variety of CDSS have been developed and implemented in daily clinical practice, such as drug–drug interactions or drug allergies [4]. It is crucial for improvements in safety and quality to assess and improve the efficacy and safety of CDSS in clinical practice, including how patient-level outcome measurements are recorded and evaluated.