Table 3.

A List of clinical knowledge management tools available at each participating institution.

Participating organizations	Tool 1: External repository of clinical content with web-based viewer	Tool 2: Online, interactive, internet-based content development tool	Tool 3: Enterprise-wide tool to maintain controlled clinical terminology concepts	Tool 4: Tool for CDS users to provide feedback regarding CDS interventions
Kaiser Permanente, Northwest	Method to extract and download human-readable versions of alerts and order sets to repository	Yes, via intranet, Kaiser National website, & Epic Community library [14]	Internal, Convergent Medical Terminology controlled at National KP level ⁵⁵	E-mail address for CDS-related feedback exists.
Providence Health System, Portland	Limited availability via order set library, pdf of what is built in system.	Zynx author space [56] and viewspace; and Sharepoint site for new content development and vetting by clinicians	No.	Complaint button
Regenstrief Institute, Inc.	No external repository, because CDS knowledge is integrated into the Gopher Order Entry system.	No	Internal dictionary of 33,845 terms, mapped to standard terminologies. Terms grouped, with several levels of hierarchy	Users e-mail system developers with feedback.
Partners HealthCare System	Content is developed, reviewed and curated in “Documentum’s eRooms” using semi-structured knowledge specifications.	Yes, eRooms [57],	Combination of proprietary and standard terminologies with terminology services, hierarchy and subsets.	Interventions have a feedback button and pager number.
Roudebush VAMC	No	Web-based work order system to request new tools.	CPRS/VistA for controlling ICD- 9, CPT, & DRG groups	Tool on user interface menu to document problems & suggestions
Memorial Hermann	Yes. use Sharepoint to maintain CDS inventory of CDS. Have separate databases for Order sets, Alerts/Reminders.	Zynx View Space for Order sets	No	Yes, for order sets. users can provide feedback via email or production support remedy tickets