Implementing computerized clinical decision support systems

1

Quality of care studies document that physicians often inconsistently diagnose clinical problems and inappropriately prescribe clinical care. A new thematic series published in Implementation Science and edited by R. Brian Haynes (McMaster University) assesses the use of computerized clinical decision support systems (CCDSSs) to address these issues.


CCDSSs match the characteristics of patients to a computerized medical knowledge base, and may consistently and appropriately provide recommendations to clinicians for consideration. The knowledge base for CCDSSs was typically that of expert opinion in the early days of the computer era. Nowadays the knowledge base is more commonly evidence-based, grounded in strong findings from clinical research that show, for example, that treatment A is better than treatment B for a given clinical situation.


Proponents of CCDSSs claim that they help with the accuracy of clinical decisions and so improve the process of care and the outcomes of patients. This thematic series assesses the effects of CCDSSs on the process of care and the outcomes of patients for 6 domains of clinical practice:

1.    Primary Prevention
2.    Diagnostic Test Ordering
3.    Drug Ordering
4.    Therapeutic Drug Monitoring
5.    Acute care
6.    Chronic Disease Management


The findings will be of interest to practitioners and patients, of course, but also to policy makers and managers, given the claims for improving quality of care and costs of computerized clinical decision support.



Topics:

Health

Share this post

View the latest posts on the On Health homepage

One Comment

By commenting, you’re agreeing to follow our community guidelines.

Your email address will not be published. Required fields are marked *

Vinod

few people are trying to defame the small publishing companies without any proper evidence and they are trying to blackmail the companies for money. below mentioned is one of the mail
I maintain list of predatory open access publishers in my blog
http://scholarlyoa.com
 
Your publisher name is also included in 2012 edition of my predatory open
access publishers list. My recent article in Nature journal can be read
below
 
http://www.nature.com/news/predatory-publishers-are-corrupting-open-access-1.11385
 
I can consider re-evaluating your journals for 2013 edition of my list. It
takes a lot my time and resources. The fee for re-evaluation of your
publisher is USD 5000. If your publisher name is not in my list, it will
increase trustworthiness to your journals and it will draw more article
submissions. In case you like re-evaluation for your journals, you can
contact me.
 
Cordially
Jeffrey Beall

Reply