Showing papers on "R-CAST published in 2019"
01 Jan 2019
TL;DR: This chapter shows in what way CDSS can support the use of clinical data science in daily clinical practice and explains what types of C DSS are available and how such systems can be used.
Abstract: Clinical decision support (CDS) includes a variety of tools and interventions computerized as well as non- computerized. High-quality clinical decision support systems (CDSS), computerized CDS, are essential to achieve the full benefits of electronic health records and computerized physician order entry. A CDSS can take into account all data available in the EHR making it possible to notice changes outside the scope of the professional and notice changes specific for a certain patient, within normal limits. However, to use of CDSS in practice, it is important to understand the basic requirements of these systems.
38 citations
TL;DR: This work believes decisional aids, such as pharmacogenetic decision support tools (PDSTs), facilitate Shared decision making in the clinical setting and may likewise predict drug tolerance and efficacy, and therefore adherence and effectiveness on an individual-patient level.
Abstract: Patients discontinue antidepressant medications due to lack of knowledge, unrealistic expectations, and/or unacceptable side effects. Shared decision making (SDM) invites patients to play an active role in their treatment and may indirectly improve outcomes through enhanced engagement in care, adherence to treatment, and positive expectancy of medication outcomes. We believe decisional aids, such as pharmacogenetic decision support tools (PDSTs), facilitate SDM in the clinical setting. PDSTs may likewise predict drug tolerance and efficacy, and therefore adherence and effectiveness on an individual-patient level. There are several important ethical considerations to be navigated when integrating PDSTs into clinical practice. The field requires greater empirical research to demonstrate clinical utility, and the mechanisms thereof, as well as exploration of the ethical use of these technologies.
23 citations
TL;DR: In this article, the authors investigated factors that influence the strategy process during a crisis within the chemical industry and examined key organizational, environmental, and management factors, and found that these factors can influence the decision making process.
Abstract: This study investigated factors that influence the strategy process during a crisis within the chemical industry. It examined key organizational, environmental, and management factors—comprehensive...
7 citations