Effects of clinical decision-support systems on practitioner performance and patient outcomes: a synthesis of high-quality systematic review findings
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TLDR
In this article, the authors synthesize the literature on clinical decision-support systems' (CDSS) impact on healthcare practitioner performance and patient outcomes, and find no evidence that CDSS significantly impacted practitioner performance.About:
This article is published in Journal of the American Medical Informatics Association.The article was published on 2011-05-01 and is currently open access. It has received 454 citations till now. The article focuses on the topics: Systematic review & Evidence-based medicine.read more
Citations
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Evaluation of clinical decision support systems for diabetes care: An overview of current evidence.
TL;DR: There is evidence that CDSS for providing alerts, reminders, or feedback to participants were most likely to impact diabetes care, and clinical decision support systems improved the quality of diabetes care by inconsistently improving process of care or patient outcomes.
Journal ArticleDOI
Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems.
TL;DR: The chemotherapy computerisation with clinical decision support system resulted in a significant decrease in the occurrence and severity of medication errors, improvements in chemotherapy dispensing and administration times, and reduction of chemotherapy cost.
Journal ArticleDOI
Creating Computable Algorithms for Symptom Management in an Outpatient Thoracic Oncology Setting
Mary E. Cooley,David F. Lobach,Ellis Johns,Barbara Halpenny,Toni Ann Saunders,Guilherme Del Fiol,Michael S. Rabin,Pamela Calarese,Isidore Berenbaum,K S Zaner,Kathleen T. Finn,Donna L. Berry,Janet L. Abrahm +12 more
TL;DR: A process of adapting research evidence for use in a clinical decision support system that provided individualized symptom management recommendations to clinicians at the point of care resulted in computable algorithms that represented the consensus of many experts.
Proceedings ArticleDOI
The Practitioner's Perspective on Clinical Pathway Support Systems
TL;DR: While the logic of support systems in healthcare is evident, in the reality of clinical practice, other factors influence the success of these systems and this has significant implications for the acceptability and the relevance ofsupport systems.
Journal ArticleDOI
The Impact of Clinical Decision Support Systems (CDSS) on Physicians: A Scoping Review
TL;DR: Positive impacts of CDSSs were identified: work efficiency, providing more personalized care, improving care and knowledge, increasing confidence in making decisions, improving prescribing behavior, and reducing the number of ordered laboratory and medical imaging tests.
References
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Crossing the Quality Chasm: A New Health System for the 21st Century
TL;DR: Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
Journal ArticleDOI
Evidence based medicine: what it is and what it isn't.
TL;DR: Evidence Based Medicine (IBM) as discussed by the authors is the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients, which is a hot topic for clinicians, public health practitioners, purchasers, planners and the public.
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From best evidence to best practice: effective implementation of change in patients' care
Richard Grol,Jeremy M. Grimshaw +1 more
TL;DR: In this article, the authors provide an overview of present knowledge about initiatives to changing medical practice and suggest that to change behaviour is possible, but this change generally requires comprehensive approaches at different levels (doctor, team practice, hospital, wider environment), tailored to specific settings and target groups.
Journal Article
From best evidence to best practice: effective implementation of change in patients' care. Commentary
TL;DR: An overview of present knowledge about initiatives to changing medical practice is provided, showing that none of the approaches for transferring evidence to practice is superior to all changes in all situations.
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Development of AMSTAR: a measurement tool to assess the methodological quality of systematic reviews
Beverley Shea,Jeremy M. Grimshaw,George A. Wells,Maarten Boers,Neil Andersson,Candyce Hamel,Ashley C Porter,Peter Tugwell,David Moher,Lex M. Bouter +9 more
TL;DR: A measurement tool for the 'assessment of multiple systematic reviews' (AMSTAR) was developed that consists of 11 items and has good face and content validity for measuring the methodological quality of systematic reviews.