Computer based decision support: the substrate for dental practice in the 21st century

1991 ◽  
Vol 55 (4) ◽  
pp. 262-263
Author(s):  
LM Abbey
Author(s):  
Soraya Rahma Hayati ◽  
Mesran Mesran ◽  
Taronisokhi Zebua ◽  
Heri Nurdiyanto ◽  
Khasanah Khasanah

The reception of journalists at the Waspada Daily Medan always went through several rigorous selections before being determined to be accepted as journalists at the Waspada Medan Daily. There are several criteria that must be possessed by each participant as a condition for becoming a journalist in the Daily Alert Medan. To get the best participants, the Waspada Medan Daily needed a decision support system. Decision Support Systems (SPK) are part of computer-based information systems (including knowledge-based systems (knowledge management)) that are used to support decision making within an organization or company. Decision support systems provide a semitructured decision, where no one knows exactly how the decision should be made. In this study the authors applied the VlseKriterijumska Optimizacija I Kompromisno Resenje (VIKOR) as the method to be applied in the decision support system application. The VIKOR method is part of the Multi-Attibut Decision Making (MADM) Concept, which requires normalization in its calculations. The expected results in this study can obtain maximum decisions.Keywords: Journalist Acceptance, Decision Support System, VIKOR


2021 ◽  
pp. 028418512199579
Author(s):  
Simon S Martin ◽  
Delina Kolaneci ◽  
Julian L Wichmann ◽  
Lukas Lenga ◽  
Doris Leithner ◽  
...  

Background High-resolution computed tomography (HRCT) is essential in narrowing the possible differential diagnoses of diffuse and interstitial lung diseases. Purpose To investigate the value of a novel computer-based decision support system (CDSS) for facilitating diagnosis of diffuse lung diseases at HRCT. Material and Methods A CDSS was developed that includes about 100 different illustrations of the most common HRCT signs and patterns and describes the corresponding pathologies in detail. The logical set-up of the software facilitates a structured evaluation. By selecting one or more CT patterns, the program generates a ranked list of the most likely differential diagnoses. Three independent and blinded radiology residents initially evaluated 40 cases with different lung diseases alone; after at least 12 weeks, observers re-evaluated all cases using the CDSS. Results In 40 patients, a total of 113 HRCT patterns were evaluated. The percentage of correctly classified patterns was higher with CDSS (96.8%) compared to assessment without CDSS (90.3%; P < 0.01). Moreover, the percentage of correct diagnosis (81.7% vs. 64.2%) and differential diagnoses (89.2% vs. 38.3%) were superior with CDSS compared to evaluation without CDSS (both P < 0.01). Conclusion Addition of a CDSS using a structured approach providing explanations of typical HRCT patterns and graphical illustrations significantly improved the performance of trainees in characterizing and correctly identifying diffuse lung diseases.


Author(s):  
JENS WEBER-JAHNKE

Computer-based clinical decision support (CDS) contributes to cost savings, increased patient safety and quality of medical care. Most existing CDS systems are stand-alone products (first generation) or part of complete electronic medical record packages (second generation). Experience shows that creating and maintaining CDS systems is expensive and requires effort that should be economized by sharing them among multiple users. It makes good economic sense to share CDS service installations among a larger set of client systems. The paradigm of a service-oriented architecture (SOA) embraces this idea of sharing distributed services. Some attempts making CDS services available to distributed health information systems exist. However, these approaches have not gained much adoption. We argue that they do not provide a sufficient level of decoupling between client and CDS in order to be broadly reusable in SOAs. In this paper, we present a new CDS service component called EGADSS, which has been designed and implemented with the declared objective to minimize the coupling between client and CDS server. We present our key design decisions, which are guided by empirical research in SOA development. We evaluate our result theoretically by measuring the level of decoupling achieved compared to existing CDS approaches. Furthermore, we report on an empirical evaluation of the resulting design, integrating the EGADSS service with an example client system.


2006 ◽  
Vol 27 (5) ◽  
pp. 417-423 ◽  
Author(s):  
May Sadik ◽  
David Jakobsson ◽  
Fredrik Olofsson ◽  
Mattias Ohlsson ◽  
Madis Suurkula ◽  
...  

2006 ◽  
Vol 19 (4) ◽  
pp. 788-802 ◽  
Author(s):  
Keri K. Hall ◽  
Jason A. Lyman

SUMMARY Blood culture contamination represents an ongoing source of frustration for clinicians and microbiologists alike. Ambiguous culture results often lead to diagnostic uncertainty in clinical management and are associated with increased health care costs due to unnecessary treatment and testing. A variety of strategies have been investigated and employed to decrease contamination rates. In addition, numerous approaches to increase our ability to distinguish between clinically significant bacteremia and contamination have been explored. In recent years, there has been an increase in the application of computer-based tools to support infection control activities as well as provide clinical decision support related to the management of infectious diseases. Finally, new approaches for estimating bacteremia risk which have the potential to decrease unnecessary blood culture utilization have been developed and evaluated. In this review, we provide an overview of blood culture contamination and describe the potential utility of a variety of approaches to improve both detection and prevention. While it is clear that progress is being made, fundamental challenges remain.


1990 ◽  
Vol 32 (3-4) ◽  
pp. 179-188 ◽  
Author(s):  
E.R. Carson ◽  
S. Carey ◽  
F.E. Harvey ◽  
P.H. Sonksen ◽  
S. Till ◽  
...  

Author(s):  
Eka Larasati Amalia ◽  
Deasy Sandhya Elya Ikawati ◽  
Muhammad Arya Puja Laksana

Decision support system is a computer-based system that is used to solve problems by semi-structured and unstructured conditions. In this case, the best solution can be found from certain criteria and provided alternatives and is easy to use by users. In this study, researchers designed and built a website-based decision support system to select athletes in PERBASASI Malang with the provided test criteria, namely the hit test, catch test, throw test, and run test. The purpose of this study was to provide recommendations for participants who passed the selection based on test scores that have been processed using the VlseKriterijumska Optimizacija I Kompromisno Resenje (VIKOR) method. From the results of calculations, the use of the VIKOR method for this case study produced an accuracy value of 90.90%, a precision value of 93.33%, and a recall value of 93.33%. In addition, the VIKOR sensitivity test showed a consistent ranking of the calculation of the value with veto (value of v less than 0.5), by consensus (value of v is 0.5), and voting by majority rule (value of v more than 0.5). User testing that was applied by using each level of the existing account, i.e. administrator account level, selection account level, and members account level conducted on this information system concluded that the system that was built was running smoothly and was easy to use.


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