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
Computerized Clinical Decision Support System for Prompting Brief Alcohol Interventions with Treatment Seeking Smokers: A Sex-Based Secondary Analysis of a Cluster Randomized Trial
Nadia Minian,Nadia Minian,Anna Ivanova,Sabrina Voci,Scott Veldhuizen,Laurie Zawertailo,Laurie Zawertailo,Dolly Baliunas,Dolly Baliunas,Aliya Noormohamed,Norman Giesbrecht,Norman Giesbrecht,Peter Selby +12 more
TL;DR: The results of this study showed that these CDSS intervention effects were not moderated by sex, and this can help inform the development of a scalable strategy to overcome gender disparities in alcohol intervention seen in other studies.
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A New Approach to Privacy-Preserving Clinical Decision Support Systems for HIV Treatment.
Thomas Attema,Emiliano Mancini,Gabriele Spini,Mark Abspoel,Jan de Gier,Serge Fehr,Thijs Veugen,Maran van Heesch,Daniël Worm,Andrea De Luca,Ronald Cramer,Peter M. A. Sloot +11 more
- 02 Oct 2018
TL;DR: In this article, a secure multiparty computation (MPC) based approach was proposed to preserve the privacy of the patient records and the confidentiality of the clinicians' decisions, which enables to compute the effectiveness measure of a treatment based on patient records, while preserving privacy.
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A randomized controlled trial for evaluating the impact of integrating a computerized clinical decision support system and a socially assistive humanoid robot into grand rounds during pre/post-operative care
Izidor Mlakar,Urška Smrke,Vojko Flis,A. Bergauer,Nina Kobilica,Tadej Kampič,Samo Horvat,Damjan Vidovič,Bojan Musil,Nejc Plohl +9 more
TL;DR: This study will provide high-quality evidence on the effectiveness of CDSS systems and SAHR in the grand round routine and evaluate the acceptability and clinical usability of the system.
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A Probabilistic Model to Support Radiologists’ Classification Decisions in Mammography Practice:
TL;DR: The results show that the probabilistic model developed could provide support to radiologists to improve their performance and consistency within mammography practice and can significantly reduce screening mammography false positives with a minimal increase in false negatives.
References
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Systematic Review: Impact of Health Information Technology on Quality, Efficiency, and Costs of Medical Care
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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.
3.1K
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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