BACKGROUND Patients with schizophrenia commonly show both depressive and negative symptoms that can differentially affect the prognosis and course of treatment. The Calgary Depression Scale for Schizophrenia (CDSS) was designed to distinguish between depression and negative symptoms in patients with schizophrenia. The purpose of this study is to validate an Arabic version of the CDSS among pati...

BACKGROUND The adequacy of thromboprophylaxis prescriptions in acutely ill hospitalized medical patients needs improvement. OBJECTIVE To prospectively assess the efficacy of thromboprophylaxis adequacy of various clinical decision support systems (CDSS) with the aim of increasing the use of explicit criteria for thromboprophylaxis prescription in nine Swiss medical services. METHODS We rand...

BACKGROUND Order communication systems (OCS) are computer applications used to enter diagnostic and therapeutic patient care orders and to view test results. Many potential benefits of OCS have been identified including improvements in clinician ordering patterns, optimisation of clinical time, and aiding communication processes between clinicians and different departments. Many OCS now include...

BACKGROUND Computerized decision support systems (CDSSs) have the potential to significantly improve the quality of nursing care of older people by enhancing the decision making of nursing personnel. Despite this potential, health care organizations have been slow to incorporate CDSSs into nursing home practices. OBJECTIVE This study describes facilitators and barriers that impact the ability...

CONTEXT The impact of clinical decision support systems (CDSS) on antimicrobial prescribing in ambulatory settings has not previously been evaluated. OBJECTIVE To measure the added value of CDSS when coupled with a community intervention to reduce inappropriate prescribing of antimicrobial drugs for acute respiratory tract infections. DESIGN, PARTICIPANTS AND SETTING Cluster randomized tria...

BACKGROUND Identifying the appropriate long-term anti-thrombotic therapy following acute ischaemic stroke is a challenging area in which computer-based decision support may provide assistance. AIM To evaluate the influence on prescribing practice of a computer-based decision support system (CDSS) that provided patient-specific estimates of the expected ischaemic and haemorrhagic vascular even...

There is clear room for improvement in all existing clinical decision support systems (CDSS) to more closely meet the needs of their target users and work processes. Ongoing evaluation serves not just to document benefits, but also to provide feedback to the CDSS engineering process to create more usable and effective tools. This paper discusses the challenges of achieving evaluation data that ...

Health care organizations are turning to electronic clinical decision support systems (CDSSs) to increase quality of patient care and promote a safer environment. A CDSS is a promising approach to the aggregation and use of patient data to identify patients who would most benefit from interventions by pharmacy clinicians. However, there are limited published reports describing the impact of CDS...

Telemedicine is modern technology that is employed to provide low cost, high standard medical facilities to the people of remote areas. Store-and-Forward method of telemedicine suits more to the progressive countries like Pakistan as not only is it easy to set up but it also has a very cheap operating cost. However, the high response time taken by store & forward telemedicine becomes a critical...

OBJECTIVE a) To document the presence and use of clinical department systems (CDS) in a university hospital that implemented a hospital-wide electronic health record (EHR) in 1999 and b) To compare clinical use of the CDS with that of the EHR. METHOD Identification of CDSs in use by contacting leaders and senior physicians at clinical departments at the hospital. Identification of key propert...