decision support

From Aaushi
Jump to navigation Jump to search

Introduction

use of informatics to assist in medical decisions

Clinical significance

  • decision-support tools & knowledge management systems at point of care should be an integral part of the healthcare system[1]
  • there is no substitute for knowing clinical guidelines, understanding the evidence & incorporating it into practice however; there are so many scores, guidelines, & tools that it seems improbable that any one clinician can know them all[2]
  • the only real solution is a robust, easy-to-use clinical decision support embedded into the electronic medical record & provider workflow[2]
  • computerised physician order entry with clinical decision support is associated with clinically important reductions in the rate of high-risk prescribing errors[3]

Additional terms

References

  1. 1.0 1.1 Institute of Medicine, September 6, 2012 Best Care at Lower Cost: The Path to Continuously Learning Health Care in America http://www.iom.edu/Reports/2012/Best-Care-at-Lower-Cost-The-Path-to-Continuously-Learning-Health-Care-in-America.aspx
  2. 2.0 2.1 2.2 Raja AS Stop Treating All Patients with Febrile Neutropenia Similarly. NEJM Journal Watch. Sept 23, 2016 Massachusetts Medical Society (subscription needed) http://www.jwatch.org
  3. 3.0 3.1 Pontefract SK, Hodson J, Slee A, et al. Impact of a commercial order entry system on prescribing errors amenable to computerised decision support in the hospital setting: a prospective pre-post study. BMJ Qual Saf. 2018 Mar 23 PMID: https://www.ncbi.nlm.nih.gov/pubmed/29572298 Free full text https://psnet.ahrq.gov/resources/resource/32024