Goldstein MK et al. 2004 "Translating research into practice: organizational issues in implementing automated decision support for hypertension in three medical centers."

"The intervention is a decision support system for hypertension that automates evidence-based guidelines for management of primary hypertension. It uses a guideline interpreter to combine patient information from the [electronic medical record] EMR with knowledge of hypertension to generate patient-specific recommendations, explanations, and evidence-based education, which are then delivered to clinicians in a pop-up window at the time of outpatient primary care clinic visits." "The system is intended to be platform-independent and integrate into existing legacy systems." The system was designed to integrate smoothly into the clinicians' workflow. Recommendations "appear at the time of clinical decision making, without requiring further action by the clinician, [and] advisories appear to the clinician in the CPRS-GUI coversheet as a pop-up window when an appropriate patient record is accessed." Generating "recommendations [does] not require that the clinician retype data known to the system." After updated information is entered, the system "return[s] a nearly instantaneous update of recommendations." The system does "not slow down workstation performance." Users can "bypass the pop-up window easily if they do not want to use it," and "the system [runs] on the existing operating system."