Designing an outcome-oriented computer decision-support system for cardiovascular ICU?A preliminary report

1991 ◽  
Vol 15 (5-6) ◽  
pp. 359-377 ◽  
Author(s):  
Francis Lau ◽  
Daniel Vincent ◽  
Don Fenna ◽  
Randy Goebel ◽  
Dennis Modry
Keyword(s):  
Decision Support ◽  
Decision Support System ◽  
Support System ◽  
Preliminary Report ◽  
Computer Decision Support

scholarly journals Effects of a Decision Support System on the Diagnostic Accuracy of Users: A Preliminary Report

1996 ◽  
Vol 3 (6) ◽  
pp. 422-428 ◽  
Author(s):  
Arthur S. Elstein ◽  
Charles P. Friedman ◽  
Fredric M. Wolf ◽  
Gwen Murphy ◽  
Judith Miller ◽  
...  
Keyword(s):  
Decision Support ◽  
Decision Support System ◽  
Diagnostic Accuracy ◽  
Support System ◽  
Preliminary Report

A prototype computer decision support system for the management of asthma

1996 ◽  
Vol 20 (1) ◽  
pp. 45-55 ◽  
Author(s):  
Tony Austin ◽  
Steve Iliffe ◽  
Mark Leaning ◽  
Mike Modell
Keyword(s):  
Decision Support ◽  
Decision Support System ◽  
Support System ◽  
Computer Decision Support

scholarly journals Psychopharmacological Treatment in the RAISE-ETP Study: Outcomes of a Manual and Computer Decision Support System Based Intervention

2018 ◽  
Vol 175 (2) ◽  
pp. 169-179 ◽  
Author(s):  
Delbert G. Robinson ◽  
Nina R. Schooler ◽  
Christoph U. Correll ◽  
Majnu John ◽  
Benji T. Kurian ◽  
...  
Keyword(s):  
Decision Support ◽  
Decision Support System ◽  
Support System ◽  
Psychopharmacological Treatment ◽  
Computer Decision Support

Use of a Computer Decision Support System and Antimicrobial Therapy Appropriateness

2013 ◽  
Vol 34 (6) ◽  
pp. 558-565 ◽  
Author(s):  
Gregory A. Filice ◽  
Dimitri M. Drekonja ◽  
Joseph R. Thurn ◽  
Thomas S. Rector ◽  
Galen M. Hamann ◽  
...  
Keyword(s):  
Decision Support ◽  
Decision Support System ◽  
Support System ◽  
Multivariable Analysis ◽  
Veterans Affairs ◽  
Drug Selection ◽  
Department Of Veterans Affairs ◽  
Record System ◽  
Computerized Patient Record ◽  
Computer Decision Support

Objective.To determine whether antimicrobial (AM) courses ordered with an antimicrobial computer decision support system (CDSS) were more likely to be appropriate than courses ordered without the CDSS.Design.Retrospective cohort study. Blinded expert reviewers judged whether AM courses were appropriate, considering drug selection, route, dose, and duration.Setting.A 279-bed university-affiliated Department of Veterans Affairs (VA) hospital.Patients.A 500-patient random sample of inpatients who received a therapeutic AM course between October 2007 and September 2008.Intervention.An optional CDSS, available at the point of order entry in the VA computerized patient record system.Results.CDSS courses were significantly more likely to be appropriate (111/254, 44%) compared with non-CDSS courses (81/246, 33%, P = .013). Courses were more likely to be appropriate when the initial provider diagnosis of the condition being treated was correct (168/273, 62%) than when it was incorrect, uncertain, or a sign or symptom rather than a disease (24/227, 11%, P< .001). In multivariable analysis, CDSS-ordered courses were more likely to be appropriate than non-CDSS-ordered courses (odds ratio [OR], 1.83; 95% confidence interval [CI], 1.13–2.98). Courses were also more likely to be judged appropriate when the initial provider diagnosis of the condition being treated was correct than when it was incorrect, uncertain, or a sign or symptom rather than a disease (OR, 3.56; 95% CI, 1.4-9.0).Conclusions.Use of the CDSS was associated with more appropriate AM use. To achieve greater improvements, strategies are needed to improve provider diagnoses of syndromes that are infectious or possibly infectious.

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