Experience from Computer-Based Patient Records for Computer-Assisted Decision Making

1993 ◽  
Vol 32 (01) ◽  
pp. 14-15 ◽  
Author(s):  
J. van der Lei
Keyword(s):  
Decision Making ◽  
Decision Support ◽  
Decision Support Systems ◽  
Clinical Decision Support ◽  
Support Systems ◽  
Clinical Decision Support Systems ◽  
Clinical Decision ◽  
Computer Assisted ◽  
Patient Records ◽  
Computer Based

Abstract:Response to Heathfield HA, Wyatt J. Philosophies for the design and development of clinical decision-support systems. Meth Inform Med 1993; 32: 1-8.

Mental Health Clinical Decision Support Exploiting Big Data

2019 ◽  
pp. 160-184 ◽  
Author(s):  
Jan Kalina
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Big Data ◽  
Decision Support ◽  
Decision Support Systems ◽  
Clinical Decision Support ◽  
Clinical Decision Making ◽  
Support Systems ◽  
Clinical Decision Support Systems ◽  
Clinical Decision

The complexity of clinical decision-making is immensely increasing with the advent of big data with a clinical relevance. Clinical decision systems represent useful e-health tools applicable to various tasks within the clinical decision-making process. This chapter is devoted to basic principles of clinical decision support systems and their benefits for healthcare and patient safety. Big data is crucial input for clinical decision support systems and is helpful in the task to find the diagnosis, prognosis, and therapy. Statistical challenges of analyzing big data in psychiatry are overviewed, with a particular interest for psychiatry. Various barriers preventing telemedicine tools from expanding to the field of mental health are discussed. The development of decision support systems is claimed here to play a key role in the development of information-based medicine, particularly in psychiatry. Information technology will be ultimately able to combine various information sources including big data to present and enforce a holistic information-based approach to psychiatric care.

The Role of Artificial Intelligence in Clinical Decision Support Systems and a Classification Framework

2020 ◽  
pp. 167-186
Author(s):  
Steven Walczak
Keyword(s):  
Artificial Intelligence ◽  
Decision Making ◽  
Decision Support ◽  
Decision Support Systems ◽  
Clinical Decision Support ◽  
Clinical Decision Making ◽  
Support Systems ◽  
Clinical Decision Support Systems ◽  
Clinical Decision ◽  
Classification Framework

Clinical decision support systems are meant to improve the quality of decision-making in healthcare. Artificial intelligence is the science of creating intelligent systems that solve complex problems at the level of or better than human experts. Combining artificial intelligence methods into clinical decision support will enable the utilization of large quantities of data to produce relevant decision-making information to practitioners. This article examines various artificial intelligence methodologies and shows how they may be incorporated into clinical decision-making systems. A framework for describing artificial intelligence applications in clinical decision support systems is presented.

scholarly journals Clinical Decision Support Systems in Breast Cancer: A Systematic Review

Cancers ◽  
2020 ◽  
Vol 12 (2) ◽  
pp. 369 ◽  
Author(s):  
Claudia Mazo ◽  
Cathriona Kearns ◽  
Catherine Mooney ◽  
William M. Gallagher
Keyword(s):  
Breast Cancer ◽  
Systematic Review ◽  
Decision Making ◽  
Decision Support ◽  
Decision Support Systems ◽  
Clinical Decision Support ◽  
Support Systems ◽  
Clinical Decision Support Systems ◽  
Clinical Decision ◽  
Major Advance

Breast cancer is the most frequently diagnosed cancer in women, with more than 2.1 million new diagnoses worldwide every year. Personalised treatment is critical to optimising outcomes for patients with breast cancer. A major advance in medical practice is the incorporation of Clinical Decision Support Systems (CDSSs) to assist and support healthcare staff in clinical decision-making, thus improving the quality of decisions and overall patient care whilst minimising costs. The usage and availability of CDSSs in breast cancer care in healthcare settings is increasing. However, there may be differences in how particular CDSSs are developed, the information they include, the decisions they recommend, and how they are used in practice. This systematic review examines various CDSSs to determine their availability, intended use, medical characteristics, and expected outputs concerning breast cancer therapeutic decisions, an area that is known to have varying degrees of subjectivity in clinical practice. Utilising the methodology of Kitchenham and Charter, a systematic search of the literature was performed in Springer, Science Direct, Google Scholar, PubMed, ACM, IEEE, and Scopus. An overview of CDSS which supports decision-making in breast cancer treatment is provided along with a critical appraisal of their benefits, limitations, and opportunities for improvement.

Clinical Decision Support Systems for ‘Making It Easy to Do It Right’

2012 ◽  
pp. 324-335
Author(s):  
Anne-Marie Scheepers-Hoeks ◽  
Floor Klijn ◽  
Carolien van der Linden ◽  
Rene Grouls ◽  
Eric Ackerman ◽  
...  
Keyword(s):  
Decision Support ◽  
Decision Support Systems ◽  
Clinical Decision Support ◽  
Support Systems ◽  
Care Delivery ◽  
Clinical Decision Support Systems ◽  
Clinical Decision ◽  
Health Care Delivery System ◽  
Computer Based ◽  
Medical Guidelines

Medical guidelines and best practises are used in medicine to increase the quality of the health-care delivery system. To support implementation and application of these guidelines, clinical decision support systems (CDSS) have been developed. These systems are defined as ‘Computer-based information systems used to integrate clinical and patient information and provide support for decision-making in patient care’ (MeSH) These are integrated with so-called Electronic Health Records (EHR), which have been developed by companies and National Governmental Institutes, and are used to register and present the patient medical data. The integration of an EHR with CDSS modules will revolutionize the way medicine will be practiced. In pediatrics, as well as geriatrics, such systems might prove to be even more needed. The development, use, and maintenance of CDSS in a hospital are complex and far from trivial. This chapter focuses on several aspects and challenges of EHR’s and CDSS-modules in daily clinical practice in the hospital.

Clinical Decision Support Systems for ‘Making It Easy to Do It Right’

Data Mining ◽  
2013 ◽  
pp. 1461-1471
Author(s):  
Anne-Marie Scheepers-Hoeks ◽  
Floor Klijn ◽  
Carolien van der Linden ◽  
Rene Grouls ◽  
Eric Ackerman ◽  
...  
Keyword(s):  
Decision Support ◽  
Decision Support Systems ◽  
Clinical Decision Support ◽  
Support Systems ◽  
Care Delivery ◽  
Clinical Decision Support Systems ◽  
Clinical Decision ◽  
Health Care Delivery System ◽  
Computer Based ◽  
Medical Guidelines

Medical guidelines and best practises are used in medicine to increase the quality of the health-care delivery system. To support implementation and application of these guidelines, clinical decision support systems (CDSS) have been developed. These systems are defined as ‘Computer-based information systems used to integrate clinical and patient information and provide support for decision-making in patient care’ (MeSH) These are integrated with so-called Electronic Health Records (EHR), which have been developed by companies and National Governmental Institutes, and are used to register and present the patient medical data. The integration of an EHR with CDSS modules will revolutionize the way medicine will be practiced. In pediatrics, as well as geriatrics, such systems might prove to be even more needed. The development, use, and maintenance of CDSS in a hospital are complex and far from trivial. This chapter focuses on several aspects and challenges of EHR’s and CDSS-modules in daily clinical practice in the hospital.

A Framework for Data and Mined Knowledge Interoperability in Clinical Decision Support Systems

2012 ◽  
pp. 84-110 ◽  
Author(s):  
Reza S. Kazemzadeh ◽  
Kamran Sartipi ◽  
Priya Jayaratna
Keyword(s):  
Data Mining ◽  
Decision Making ◽  
Decision Support ◽  
Decision Support Systems ◽  
Clinical Decision Support ◽  
Clinical Guideline ◽  
Support Systems ◽  
Clinical Decision Support Systems ◽  
Clinical Decision ◽  
Healthcare Personnel

Due to reliance on human knowledge, the practice of medicine is subject to errors that endanger patients’ health and cause substantial financial loss to healthcare institutions. Computer-based decision support systems assist healthcare personnel to improve quality of clinical practice. Currently, most clinical guideline modeling languages represent decision-making knowledge in terms of basic logical expressions. In this paper, we focus on encoding, sharing, and using results of data mining analyses to influence decision making within Clinical Decision Support Systems. A knowledge management framework is proposed that addresses the issues of data and knowledge interoperability by adopting healthcare and data mining modeling standards. In a further step, data mining results are incorporated into a guideline-based decision support system. A prototype tool has been developed to provide an environment for clinical guideline authoring and execution. Also, three real world case studies have been presented, one of which is used as a running example throughout the paper.

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