BACKGROUND Meaningful use of health information technology (HIT) requires the use of clinical decision support systems (CDSS). However, the effectiveness of CDSS depends on physician compliance with clinical reminders which is known to be highly variable. Our objective was to evaluate physician adherence to clinical reminders from a CDSS designed to maximize features known to improve practice. ...

The use of electronic health records has skyrocketed following the 2009 HITECH Act, which provides financial incentives to health care providers for the "meaningful use" of electronic medical record systems. An important component of the "Meaningful Use" legislation is the integration of Clinical Decision Support Systems (CDSS) into the computerized record, providing up-to-date medical knowledg...

Clinical Decision Support Systems (CDSS) help to improve health care and reduce costs. However, the lack of knowledge management and modelling hampers their maintenance and reuse. Current EHR standards and terminologies can allow the semantic representation of the data and knowledge of CDSS systems boosting their interoperability, reuse and maintenance. This paper presents the modelling process...

OBJECTIVE To summarize recent research and propose a selection of best papers published in 2013 in the field of computer-based decision support in health care. METHOD Two literature reviews were performed by the two section editors from bibliographic databases with a focus on clinical decision support systems (CDSSs) and computer provider order entry in order to select a list of candidate bes...

Mobile Clinical Decision Support Systems (CDSS) aim to assist medical practitioners with decision making and provide an easy access to information on the move using mobile devices such as a mobile phone. Despite many benefits of mobile CDSS, these systems need to undergo a comprehensive evaluation to determine the correctness of the actions that decision maker take and validate the system's kno...

Introduction Clinical decision support systems (CDSS) are being developed to evidence-based antibiotic prescribing and reduce the risk of inappropriate or over-prescribing; however, adoption CDSS into health system is rarely sustained. We aimed understand implementation challenges at a macro (policymakers), meso (organizational) micro-level (individual practices) identify drivers non-adoption. ...

PURPOSE Computerized clinical decision support systems (CDSS) are an emerging means for improving healthcare safety, quality and efficiency, but meta-analyses findings are mixed. This meta-synthesis aggregates qualitative research findings as possible explanations for variable quantitative research outcomes. INCLUSION CRITERIA Qualitative studies published between 2000 and 2013 in English, in...

Computer-based decision support (CDSS) systems can deliver real patient care and increase chances of long-term survival in areas of chronic disease management prone to poor control. One such CDSS, for the management of warfarin, is described in this paper and the outcomes shown. Data is derived from the running system and show a performance consistently around 20% better than the applicable gui...

OBJECTIVES Computerised clinical decision support systems (CDSSs) are being used increasingly to support evidence-based decision-making by health care professionals. This systematic review evaluated the impact of CDSSs targeting pharmacists on physician prescribing, clinical and patient outcomes. We compared the impact of CDSSs addressing safety concerns (drug interactions, contraindications, d...

Introduction: Hospitals must provide the best service to patients. The services include speed in service, being on time, and safe from medical errors. patients is electronic records. Electronic records contain social data patient data. advantages of are stored structured files, timely filling, can be recalled at any confidentiality, safety. This study aims design with Clinical Decision Support ...