Open AccessJournal Article
Effect of Clinical Decision-Support Systems
Tiffani J Bright,Anthony Wong,Ravi Dhurjati,Erin Bristow,Lori A. Bastian,Remy R Coeytaux,Gregory P. Samsa,Vic Hasselblad,John W Williams,Michael Musty,Liz Wing,Amy S Kendrick,Gillian D Sanders,David F. Lobach +13 more
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TL;DR: In this paper, a review summarizes trials of clinical decision support systems implemented in clinical settings to aid decision-making at the point-of-care (POC) level, and concludes that the evidence to support widespread use of CDSSs is lacking.
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Abstract: Evidence to support widespread use of clinical decision-support systems (CDSSs) is lacking. This review summarizes trials of CDSSs implemented in clinical settings to aid decision making at the poi...
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Citations
Risk factors for medication errors in the electronic and manual prescription
Cris Renata Grou Volpe,Eveline Maria Magalhães de Melo,Lucas Barbosa de Aguiar,Diana Lúcia Moura Pinho,Marina Morato Stival +4 more
TL;DR: Generally, the use of the electronic prescription system was associated with a significant reduction in risk factors for medication errors, concerning the following aspects: illegibility, prescription with brand name and presence of essential items that provide a safe and effective prescription.
Prospects and challenges for clinical decision support in the era of big data.
Issam El Naqa,Michael R. Kosorok,Judy Jin,Michelle Mierzwa,Randall K. Ten Haken +4 more
- 09 Nov 2018
TL;DR: The current status of CDSSs in oncology, the prospects and current challenges of BD analytics, and the promising role of integrated modern statistics and machine learning algorithms in predicting complex clinical endpoints, individualizing treatment rules, and optimizing dynamic personalized treatment regimens are presented.
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User Centered Clinical Decision Support Tools: Adoption across Clinician Training Level
TL;DR: There is variation in adoption of CDS tools across training levels, and attendees tended to accept the tool less but ordered more medications, which should be tailored to clinicians' training levels.
The Need for Clinical Decision Support Integrated with the Electronic Health Record for the Clinical Application of Whole Genome Sequencing Information
TL;DR: The barriers to widespread clinical application of WGS information are described, how clinical decision support (CDS) can be an important tool for overcoming these barriers, and clinical examples of how genome-enabled CDS can be used in the clinical setting are provided.
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Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review.
Amit X. Garg,Neill K. J. Adhikari,Heather McDonald,M. Patricia Rosas-Arellano,Philip J. Devereaux,Joseph Beyene,Justina Sam,R. Brian Haynes +7 more
TL;DR: Improvement in practitioner performance was associated with CDSSs that automatically prompted users compared with requiring users to activate the system and studies in which the authors were not the developers, as well as other factors.
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Improving clinical practice using clinical decision support systems: a systematic review of trials to identify features critical to success
TL;DR: Clinicians and other stakeholders should implement clinical decision support systems that incorporate these features whenever feasible and appropriate.
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Effects of Computer-Based Clinical Decision Support Systems on Physician Performance and Patient Outcomes: A Systematic Review
TL;DR: The CDSSs can enhance clinical performance for drug dosing, preventive care, and other aspects of medical care, but not convincingly for diagnosis.
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