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An overview of clinical decision support systems

Benefits, risks, and strategies for success

Datos Bibliográficos

ID23324463
AutoresReed T Sutton (0000-0002-3009-1914, University of Alberta), David Pincock (0000-0003-1163-2356, Alberta Health Services), Daniel C Baumgart (0000-0003-2146-507X, University of Alberta), Daniel Sadowski (0000-0001-6614-8866, University of Alberta), Daniel C Sadowski, Richard N Fedorak (0000-0002-7382-0080, University of Alberta), Karen I Kroeker (0000-0002-3886-4213, University of Alberta, autor de correspondencia)
Año2020
Volumen3
Número1
Páginas17-17
Fecha de publicación2020-02-06
Peer ReviewedSí
Open AccessSí
TipoARTICLE
Revistanpj Digital Medicine (JOURNAL)
Identificadores de la revistaISSN: 2398-6352 • E-ISSN: 2398-6352
EditorialSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1038/s41746-020-0221-y
PMID32047862
OpenAlexW3004612364
IdiomaEN
Citas recibidas58
Referencias citadas87

Computerized clinical decision support systems, or CDSS, represent a paradigm shift in healthcare today. CDSS are used to augment clinicians in their complex decision-making processes. Since their first use in the 1980s, CDSS have seen a rapid evolution. They are now commonly administered through electronic medical records and other computerized clinical workflows, which has been facilitated by increasing global adoption of electronic medical records with advanced capabilities. Despite these advances, there remain unknowns regarding the effect CDSS have on the providers who use them, patient outcomes, and costs. There have been numerous published examples in the past decade(s) of CDSS success stories, but notable setbacks have also shown us that CDSS are not without risks. In this paper, we provide a state-of-the-art overview on the use of clinical decision support systems in medicine, including the different types, current use cases with proven efficacy, common pitfalls, and potential harms. We conclude with evidence-based recommendations for minimizing risk in CDSS design, implementation, evaluation, and maintenance.

Business · Decision support system · Management science · Risk analysis (engineering) · Artificial Intelligence · Artificial Intelligence in Healthcare · Computer Science · Electronic Health Records Systems · Engineering · Machine Learning in Healthcare

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Obras citantes distintas58
Citas por año9,67
Intervalo de citas2020 - 2026 (7)
Velocidad de citacióncurrent
Altamente citadoNo
Tipos de citaNeutras: 51
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