the paper presents a multi-factor decision-making approach for prioritizing failure modes as an alternative to traditional approach of failure mode and effect analysis (fmea). the approach is based on the ‘technique for order preference by similarity to ideal solution’ (topsis). the priority ranking is formulated on the basis of six parameters (failure occurrence, non-detection, maintainability...

In concept and practice, clinical decision support (CDS) and performance measurement represent distinct approaches to organizational change, yet these two organizational processes are interrelated. We set out to better understand how the relationship between the two is perceived, as well as how they jointly influence clinical practice. To understand the use of CDS at benchmark institutions, we ...

Automated intelligent, clinical decision support systems generally promote to help or to assist physicians and patients regarding to prevention of diseases or treatment of illnesses using computer represented knowledge and information. In this paper, assessment factors affecting the proper design of clinical decision support system were investigated. The required procedure steps for gathering t...

When making clinical decisions, physicians often consult biomedical literatures for reference. In this case, an effective clinical decision support system, provided with a patient’s health information, should be able to generate accurate queries and return to the physicians with useful articles. Related works in the Clinical Decision Support (CDS) track of TREC 2015 demonstrated the usefulness ...

Objective: Identify clinical opportunities to intervene to prevent a malpractice event and determine the proportion of malpractice claims potentially preventable by clinical decision support (CDS). Materials and Methods: Cross-sectional review of closed malpractice claims over seven years from one malpractice insurance company and seven hospitals in the Boston area. For each event, clinical opp...

A computerized clinical reminder (CCR) system is a type of decision support tool to remind healthcare providers of recommended actions. In our prior study, we found a linear correlation between resolution time and adherence rate. This correlation implies a potentially biased clinical decision making. This study aimed to redesign the Veterans Affairs (VA) CCR system in order to improve providers...

Clinical decision-support systems (CDSSs) are computer programs that are designed to provide expert support for health professionals making clinical decisions. The goal of these systems is to help health professionals analyze patient data and make decisions regarding diagnosis, prevention, and treatment of health problems. This article discusses the characteristics of such systems, addresses th...