scholarly journals Clinical Decision Support Capabilities of Commercially-available Clinical Information Systems

2009 ◽  
Vol 16 (5) ◽  
pp. 637-644 ◽  
Author(s):  
A. Wright ◽  
D. F. Sittig ◽  
J. S. Ash ◽  
S. Sharma ◽  
J. E. Pang ◽  
...  
Keyword(s):  
Decision Support ◽  
Information Systems ◽  
Clinical Decision Support ◽  
Clinical Information ◽  
Clinical Decision ◽  
Clinical Information Systems

Trust and Clinical Information Systems

2011 ◽  
pp. 1922-1933
Author(s):  
Rania Shibl ◽  
Kay Fielden ◽  
Andy Bissett ◽  
Den Pain
Keyword(s):  
Decision Support ◽  
Information Systems ◽  
New Zealand ◽  
Clinical Decision Support ◽  
Support Systems ◽  
Clinical Decision Support Systems ◽  
Clinical Information ◽  
Clinical Decision ◽  
Human Dimension ◽  
Modern Information

Our study of the use of clinical decision support systems by general practitioners in New Zealand reveals the pervasive nature of the issue of trust. “Trust” was a term that spontaneously arose in interviews with end users, technical support personnel, and system suppliers. Technical definitions of reliability are discussed in our chapter, but the very human dimension of trust seems at least as significant, and we examine what is bound up in this concept. The various parties adopted different means of handling the trust question, and we explain these. Some paradoxical aspects emerge in the context of modern information systems, both with the question of trust and with the provision of technical or organisational solutions in response to the existence of trust. We conclude by considering what lessons may be drawn, both in terms of the nature of trust and what this might mean in the context of information systems.

Trust and Clinical Information Systems

2011 ◽  
pp. 48-64
Author(s):  
Rania Shibl ◽  
Kay Fielden ◽  
Andy Bissett ◽  
Den Pain
Keyword(s):  
Decision Support ◽  
Information Systems ◽  
New Zealand ◽  
Clinical Decision Support ◽  
Support Systems ◽  
Clinical Decision Support Systems ◽  
Clinical Information ◽  
Clinical Decision ◽  
Human Dimension ◽  
Modern Information

Our study of the use of clinical decision support systems by general practitioners in New Zealand reveals the pervasive nature of the issue of trust. “Trust” was a term that spontaneously arose in interviews with end users, technical support personnel, and system suppliers. Technical definitions of reliability are discussed in our chapter, but the very human dimension of trust seems at least as significant, and we examine what is bound up in this concept. The various parties adopted different means of handling the trust question, and we explain these. Some paradoxical aspects emerge in the context of modern information systems, both with the question of trust and with the provision of technical or organisational solutions in response to the existence of trust. We conclude by considering what lessons may be drawn, both in terms of the nature of trust and what this might mean in the context of information systems.

Effectivness of Health Information System Applications: Clinical Information and Diagnosis-Treatment Systems in Turkey

2017 ◽  
Vol 5 (1) ◽  
pp. 122
Author(s):  
Assist. Prof. Dr. Demokaan DEMİREL
Keyword(s):  
Decision Making ◽  
Information System ◽  
Information Systems ◽  
Management Information System ◽  
Health Sector ◽  
Health Information System ◽  
Clinical Information ◽  
Clinical Decision ◽  
Clinical Information Systems ◽  
Management Information

The distinctive quality of the new social structure is that information becomes the only factor of production. In today's organizations, public administrators are directly responsible for applying information to administrative processes. In addition to his managerial responsibilities, a knowledge based organization requires every employee to take responsibility for achieving efficiency. This has increased the importance of information systems in the decision-making process. Information systems consist of computer and communication technology, data base management and model management and include activity processing system, management information system, decision support systems, senior management information system, expert systems and office automation systems. Information systems in the health sector aim at the management and provision of preventive and curative health services. The use of information systems in healthcare has the benefits of increasing service quality, shortening treatment processes, maximizing efficiency of the time, labour and medical devices. The use of information systems for clinical decision making and reducing medical errors in the healthcare industry dates back to the 1960s. Clinical information systems involve processing, storing and re-accessing information that supports patient care in a hospital. Clinical information systems are systems that are directly or indirectly related to patient care. These systems include electronic health/patient records, clinical decision support systems, nurse information systems, patient tracking systems, tele-medicine, case mix and smart card applications. Diagnosis-treatment systems are information-based systems used in the diagnosis and treatment of diseases. It consists of laboratory information systems, picture archiving and communication system, pharmacy information system, radiology information system, nuclear medicine information system. This study aims to evaluate the effectiveness of health information system applications in Turkey. The first part of the study focuses on the concept of information systems and the types of information systems in organization structures. In the second part, clinical information systems and applications for diagnosis-treatment systems in Turkey are examined. Finally, the study evaluates applications in the health sector qualitatively from the new organizational structure, which is formed by information systems.

scholarly journals Clinical Information Systems – Seen through the Ethics Lens

2020 ◽  
Vol 29 (01) ◽  
pp. 104-114
Author(s):  
Ursula H. Hübner ◽  
Nicole Egbert ◽  
Georg Schulte
Keyword(s):  
Information Systems ◽  
Health Information ◽  
Information Exchange ◽  
Ethics Education ◽  
Health Information Exchange ◽  
Evaluation Studies ◽  
Clinical Information ◽  
Clinical Decision ◽  
Clinical Information Systems ◽  
Smart Systems

Objective: The more people there are who use clinical information systems (CIS) beyond their traditional intramural confines, the more promising the benefits are, and the more daunting the risks will be. This review thus explores the areas of ethical debates prompted by CIS conceptualized as smart systems reaching out to patients and citizens. Furthermore, it investigates the ethical competencies and education needed to use these systems appropriately. Methods: A literature review covering ethics topics in combination with clinical and health information systems, clinical decision support, health information exchange, and various mobile devices and media was performed searching the MEDLINE database for articles from 2016 to 2019 with a focus on 2018 and 2019. A second search combined these keywords with education. Results: By far, most of the discourses were dominated by privacy, confidentiality, and informed consent issues. Intertwined with confidentiality and clear boundaries, the provider-patient relationship has gained much attention. The opacity of algorithms and the lack of explicability of the results pose a further challenge. The necessity of sociotechnical ethics education was underpinned in many studies including advocating education for providers and patients alike. However, only a few publications expanded on ethical competencies. In the publications found, empirical research designs were employed to capture the stakeholders’ attitudes, but not to evaluate specific implementations. Conclusion: Despite the broad discourses, ethical values have not yet found their firm place in empirically rigorous health technology evaluation studies. Similarly, sociotechnical ethics competencies obviously need detailed specifications. These two gaps set the stage for further research at the junction of clinical information systems and ethics.

scholarly journals Accompanying the Prostate Cancer Patient Pathway: Evaluation of Novel Clinical Decision Support Software

2021 ◽  
Author(s):  
Maurice Henkel ◽  
Tobias Horn ◽  
Francois Leboutte ◽  
Pawel Trotsenko ◽  
Sarah G. Dugas ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Decision Making ◽  
Decision Support ◽  
Information Systems ◽  
Data Quality ◽  
Clinical Decision Support ◽  
User Satisfaction ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Decision Making Process

Abstract Introduction Physicians spend more than half of their workday interacting with health information systems to care for their patients. Effective data management that provides physicians with comprehensive patient information from various information systems is required to ensure high quality clinical decision making.Objectives We evaluated the impact of a novel, CE-certified clinical decision support tool on physician’s effectiveness and satisfaction in the clinical decision-making process.Methods Using pre-therapeutic prostate cancer management cases, we compared physician’s expenditure of time, data quality, and user satisfaction in the decision-making process comparing the current standard with the software. Ten urologists from our department conducted the diagnostic work-up to the treatment decision for a total of 10 patients using both approaches.Results A significant reduction in the physician’s expenditure of time for the decision-making process by -59.9 % (p < 0,001) was found using the software. System usage showed a high positive effect on evaluated data quality parameters completeness (Cohen's d of 2.36), format (6.15), understandability (2.64), as well as user satisfaction (4.94).Conclusion The software demonstrated that effective data management can improve physician’s effectiveness and satisfaction in the clinical decision-making process. Further development is needed to map more complex patient pathways, such as the follow-up treatment of prostate cancer.

Sign in / Sign up

Export Citation Format

Share Document