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Bouaud J, Lamy JB. A 2014 medical informatics perspective on clinical decision support systems: do we hit the ceiling of effectiveness?. Yearb Med Inform. 2014;9:163-6doi: 10.15265/IY-2014-0036.
Bouaud, J., & Lamy, J. B. (2014). A 2014 medical informatics perspective on clinical decision support systems: do we hit the ceiling of effectiveness?. Yearbook of medical informatics, 9163-6. https://doi.org/10.15265/IY-2014-0036
Bouaud, J, and Lamy, J-B. "A 2014 medical informatics perspective on clinical decision support systems: do we hit the ceiling of effectiveness?." Yearbook of medical informatics vol. 9 (2014): 163-6. doi: https://doi.org/10.15265/IY-2014-0036
Bouaud J, Lamy JB. A 2014 medical informatics perspective on clinical decision support systems: do we hit the ceiling of effectiveness?. Yearb Med Inform. 2014 Aug 15;9:163-6. doi: 10.15265/IY-2014-0036. PMID: 25123737; PMCID: PMC4287088.
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Yearb Med Inform. 2014 Aug 15;9:163-6. doi: 10.15265/IY-2014-0036.

A 2014 medical informatics perspective on clinical decision support systems: do we hit the ceiling of effectiveness?.

Yearbook of medical informatics

J Bouaud, J-B Lamy

PMID: 25123737 PMCID: PMC4287088 DOI: 10.15265/IY-2014-0036

Abstract

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 best papers to be peer-reviewed by external reviewers.

RESULTS: The full review process highlighted three papers, illustrating current trends in the domain of clinical decision support. The first trend is the development of theoretical approaches for CDSSs, and is exemplified by a paper proposing the integration of family histories and pedigrees in a CDSS. The second trend is illustrated by well-designed CDSSs, showing good theoretical performances and acceptance, while failing to show a clinical impact. An example is given with a paper reporting on scorecards aiming to reduce adverse drug events. The third trend is represented by research works that try to understand the limits of CDSS use, for instance by analyzing interactions between general practitioners, patients, and a CDSS.

CONCLUSIONS: CDSSs can achieve good theoretical results in terms of sensibility and specificity, as well as a good acceptance, but evaluations often fail to demonstrate a clinical impact. Future research is needed to better understand the causes of this observation and imagine new effective solutions for CDSS implementation.

Keywords: International Medical Informatics Association; Medical informatics; decision support systems; yearbook

References

  1. BMC Med Inform Decis Mak. 2013 Sep 03;13:101 - PubMed
  2. Med Decis Making. 2013 Jan;33(1):108-18 - PubMed
  3. Br J Cancer. 2013 Sep 3;109(5):1147-56 - PubMed
  4. Yearb Med Inform. 2014 Aug 15;9:154-62 - PubMed
  5. J Am Coll Cardiol. 2013 Jul 23;62(4):308-16 - PubMed
  6. J Am Med Inform Assoc. 2003 Sep-Oct;10(5):512-4 - PubMed
  7. BMJ. 2013 Feb 14;346:f657 - PubMed
  8. J Am Med Dir Assoc. 2013 May;14(5):379.e1-6 - PubMed
  9. Comput Inform Nurs. 2013 Oct;31(10):477-95; quiz 496-7 - PubMed
  10. J Biomed Inform. 2013 Aug;46(4):710-20 - PubMed
  11. Implement Sci. 2012 May 31;7:50 - PubMed
  12. Syst Rev. 2012 Aug 16;1:36 - PubMed
  13. Med Care. 2013 Aug;51(8 Suppl 3):S11-21 - PubMed
  14. J Am Med Inform Assoc. 2013 Jun;20(e1):e76-84 - PubMed
  15. J Biomed Inform. 2013 Apr;46(2):341-53 - PubMed
  16. Br J Clin Pharmacol. 2013 Sep;76 Suppl 1:78-90 - PubMed
  17. Comput Methods Programs Biomed. 2013 Jul;111(1):17-25 - PubMed
  18. BMC Med Inform Decis Mak. 2013 Nov 20;13:128 - PubMed
  19. Appl Clin Inform. 2013 Jul 31;4(3):359-75 - PubMed
  20. Acad Emerg Med. 2013 May;20(5):463-9 - PubMed
  21. CMAJ. 2013 Oct 15;185(15):E731-8 - PubMed
  22. Int J Nurs Stud. 2013 Apr;50(4):475-86 - PubMed

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