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An overview of clinical decision support systems: benefits, risks, and strategies for success

NPJ digital medicine, 2020-02, Vol.3 (1), p.17-17, Article 17 [Peer Reviewed Journal]

The Author(s) 2020. ;The Author(s) 2020. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;The Author(s) 2020 ;ISSN: 2398-6352 ;EISSN: 2398-6352 ;DOI: 10.1038/s41746-020-0221-y ;PMID: 32047862

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  • Title:
    An overview of clinical decision support systems: benefits, risks, and strategies for success
  • Author: Sutton, Reed T ; Pincock, David ; Baumgart, Daniel C ; Sadowski, Daniel C ; Fedorak, Richard N ; Kroeker, Karen I
  • Subjects: Decision making ; Decision support systems ; Digital technology ; Electronic health records ; Health informatics ; Health risk assessment ; Health risks ; Medical records ; Review
  • Is Part Of: NPJ digital medicine, 2020-02, Vol.3 (1), p.17-17, Article 17
  • Description: 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.
  • Publisher: England: Nature Publishing Group
  • Language: English
  • Identifier: ISSN: 2398-6352
    EISSN: 2398-6352
    DOI: 10.1038/s41746-020-0221-y
    PMID: 32047862
  • Source: Open Access: PubMed Central
    ProQuest Central
    DOAJ Directory of Open Access Journals
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