ABSTRACT
Evidence-based Knowledge Governance (EKG) focused exclusively on existing order sets, distinguishing it from requests for new order sets which proceeded through the change request process described earlier. EKG processes stipulated that order set reviews reflect a group majority consensus of subject matter experts and have their basis in evidence-based guidelines from well-respected agencies. This reflected the classic model of evidence-based medicine defined by David Sackett and colleagues. Once an EKG review was underway, the informaticist engaged in the first-level review was responsible for placing a change request. This generated a ticket number that could be tracked through any decision-body meeting agenda as well as data on how long the EKG process was taking. The first-level EKG review physician-informaticist dyad was responsible for bringing their recommendations to the larger governance decision-body group for consensus, review, and sign-off.
