Literature DB >> 1482947

A critical appraisal of the literature on the effects of computer-based clinical decision support systems on clinician performance and patient outcomes.

K B Langton1, M E Johnston, R B Haynes, A Mathieu.   

Abstract

OBJECTIVE: To review the evaluations of computer-based clinical decision support systems (CDSS's). DATA SOURCES: The literature collected in the MEDLARS, EMBASE, SCISEARCH and INSPEC databases was searched from 1974 to the present. The reference lists of relevant articles were reviewed as were conference proceedings. STUDY SELECTION: Prospective, controlled studies were included. Studies were rated for methodological quality. DATA EXTRACTION: Study quality was assessed and data on study setting, subjects, method of allocation, and computer system were collected and verified using a structured form.
CONCLUSIONS: There is considerable heterogeneity in both systems evaluated and design features of those systems. Future evaluations of CDSS's should focus on methodological issues in order to enhance overall quality of evaluations.

Entities:  

Mesh:

Year:  1992        PMID: 1482947      PMCID: PMC2248082     

Source DB:  PubMed          Journal:  Proc Annu Symp Comput Appl Med Care        ISSN: 0195-4210


  10 in total

1.  Evaluating medical expert systems: what to test and how?

Authors:  J Wyatt; D Spiegelhalter
Journal:  Med Inform (Lond)       Date:  1990 Jul-Sep

Review 2.  Computer-aided diagnosis: a review.

Authors:  G C Sutton
Journal:  Br J Surg       Date:  1989-01       Impact factor: 6.939

3.  Randomised controlled trial of computer assisted management of hypertension in primary care.

Authors:  N H McAlister; H D Covvey; C Tong; A Lee; E D Wigle
Journal:  Br Med J (Clin Res Ed)       Date:  1986-09-13

Review 4.  Diagnosis without doctors.

Authors:  J G Mazoué
Journal:  J Med Philos       Date:  1990-12

5.  Initiation of warfarin therapy: comparison of physician dosing with computer-assisted dosing.

Authors:  R H White; R Hong; A P Venook; M M Daschbach; W Murray; D R Mungall; R W Coleman
Journal:  J Gen Intern Med       Date:  1987 May-Jun       Impact factor: 5.128

6.  Computer-aided quality assurance. A critical appraisal.

Authors:  R B Haynes; C J Walker
Journal:  Arch Intern Med       Date:  1987-07

7.  The evaluation of artificial intelligence systems in medicine.

Authors:  P L Miller
Journal:  Comput Methods Programs Biomed       Date:  1986-03       Impact factor: 5.428

Review 8.  Modern aids to clinical decision-making in the acute abdomen.

Authors:  S Paterson-Brown; M N Vipond
Journal:  Br J Surg       Date:  1990-01       Impact factor: 6.939

9.  A predictive instrument to improve coronary-care-unit admission practices in acute ischemic heart disease. A prospective multicenter clinical trial.

Authors:  M W Pozen; R B D'Agostino; H P Selker; P A Sytkowski; W B Hood
Journal:  N Engl J Med       Date:  1984-05-17       Impact factor: 91.245

10.  Human and computer-aided diagnosis of abdominal pain: further report with emphasis on performance of clinicians.

Authors:  F T De Dombal; D J Leaper; J C Horrocks; J R Staniland; A P McCann
Journal:  Br Med J       Date:  1974-03-02
  10 in total
  3 in total

1.  Clinical decision support in electronic prescribing: recommendations and an action plan: report of the joint clinical decision support workgroup.

Authors:  Jonathan M Teich; Jerome A Osheroff; Eric A Pifer; Dean F Sittig; Robert A Jenders
Journal:  J Am Med Inform Assoc       Date:  2005-03-31       Impact factor: 4.497

Review 2.  Effects of clinical decision-support systems on practitioner performance and patient outcomes: a synthesis of high-quality systematic review findings.

Authors:  Monique W M Jaspers; Marian Smeulers; Hester Vermeulen; Linda W Peute
Journal:  J Am Med Inform Assoc       Date:  2011-03-21       Impact factor: 4.497

3.  The introduction of evidence-based medicine as a component of daily practice.

Authors:  G C Michaud; J L McGowan; R H van der Jagt; A K Dugan; P Tugwell
Journal:  Bull Med Libr Assoc       Date:  1996-10
  3 in total

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