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decision support

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]

Related

American Medical Informatics Association (AMIA)

References

  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. 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. 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: 29572298 Free full text https://psnet.ahrq.gov/resources/resource/32024