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
857
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.
read more
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...
read more
Chat with Paper
AI Agents for this Paper
Find similar papers on Google Scholar, PubMed and Arxiv
Write a critical review of this paper
Analyze citations of this paper to find unaddressed research gaps
Citations
Centralized Reminder/Recall: Collaboration to Promote the Effective Use of Technology
TL;DR: Better understanding of how comprehensive strategies to address the know, do, and quality gaps across a range of practice environments is needed is needed to prepare for the ambitious upcoming sustainabledevelopment goals that call for elimination of preventable mortality among women and children.
2
Clinical Decision Support Tools Improving Cancer Care
TL;DR: Cancer patients, oncology nurses, and oncologists have an increasing amount of clinical decision support tools available to help achieve the Institute for Healthcare Improvement's Triple Aim.
2
Cluster-Randomized Comparative Effectiveness Trial of Physician-Directed Clinical Decision Support vs. Patient-Directed Education to Promote Appropriate Use of Opioids for Chronic Pain.
Brennan Spiegel,Garth Fuller,Xiaoyu Liu,Taylor Dupuy,Tom Norris,Roger Bolus,Rebecca Gale,Itai Danovitch,Alma Jusufagic,Teryl K. Nuckols,Penney Cowan +10 more
TL;DR: In this article , the effectiveness of physician-directed clinical decision support (CDS) administered via electronic health record (EHR) vs. patient-directed education to promote appropriate use of opioids by conducting a cluster-randomized trial involving 82 primary care physicians and 951 of their patients with chronic pain.
2
Optimization of Nursing-Specific Flu Alerts.
TL;DR: A set of nursing-specific alerts related to influenza screening and vaccination were optimized so that they would "trigger" less often but function adequately to maintain institutional flu vaccination compliance.
2
Learning meaningful latent space representations for patient risk stratification: Model development and validation for dengue and other acute febrile illness
Bernard Hernandez,Oliver Stiff,Damien Ming,Ho Q. Chanh,Nguyen Lam Vuong,Nguyen Minh Tuan,Chau Nguyen Van Vinh,Nguyet Minh Nguyen,Huy Nguyen Quang,Lam Phung Khanh,Dong Thi Hoai Tam,Trung Dinh The,Bridget Wills,Cameron P. Simmons,Alison Holmes,Sophie Yacoub,Pantelis Georgiou +16 more
TL;DR: In this paper , the authors used autoencoders capable of reducing the dimensionality of complex datasets in order to produce a 2D representation denoted as latent space to support understanding of complex clinical data, where meaningful representations of individual patient profiles are spatially mapped in an unsupervised manner according to their input clinical parameters.
2
References
Meta-Analysis in Clinical Trials*
TL;DR: This paper examines eight published reviews each reporting results from several related trials in order to evaluate the efficacy of a certain treatment for a specified medical condition and suggests a simple noniterative procedure for characterizing the distribution of treatment effects in a series of studies.
37.8K
Systematic Review: Impact of Health Information Technology on Quality, Efficiency, and Costs of Medical Care
Basit Chaudhry,Jerome K. Wang,Shinyi Wu,Margaret Maglione,Walter Mojica,Elizabeth Roth,Sally C. Morton,Paul G. Shekelle +7 more
TL;DR: This work systematically review evidence on the costs and benefits associated with use of health information technology and to identify gaps in the literature in order to provide organizations, policymakers, clinicians, and consumers an understanding of the effect ofhealth information technology on clinical care.
3.4K
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.
2.7K
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.
1.7K