Literature DB >> 33936408

Transforming primary medical research knowledge into clinical decision.

Paul R Dexter1,2, Randall W Grout1,2,3, Peter J Embi1,2.   

Abstract

While the utility of computerized clinical decision support (CCDS) for multiple select clinical domains has been clearly demonstrated, much less is known about the full breadth of domains to which CCDS approaches could be productively applied. To explore the applicability of CCDS to general medical knowledge, we sampled a total of 500 primary research articles from 4 high-impact medical journals. Employing rule-based templates, we created high-level CCDS rules for 72% (361/500) of primary medical research articles. We subsequently identified data sources needed to implement those rules. Ourfindings suggest that CCDS approaches, perhaps in the form of non-interruptive infobuttons, could be much more broadly applied. In addition, our analytic methods appear to provide a means of prioritizing and quantitating the relative utility of available data sources for purposes of CCDS. ©2020 AMIA - All rights reserved.

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Year:  2021        PMID: 33936408      PMCID: PMC8075430     

Source DB:  PubMed          Journal:  AMIA Annu Symp Proc        ISSN: 1559-4076


  17 in total

1.  Randomized controlled trial of a computer strategy to increase general practitioner preventive care.

Authors:  B Bonevski; R W Sanson-Fisher; E Campbell; A Carruthers; A L Reid; M Ireland
Journal:  Prev Med       Date:  1999-12       Impact factor: 4.018

Review 2.  Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review.

Authors:  Amit X Garg; Neill K J Adhikari; Heather McDonald; M Patricia Rosas-Arellano; P J Devereaux; Joseph Beyene; Justina Sam; R Brian Haynes
Journal:  JAMA       Date:  2005-03-09       Impact factor: 56.272

3.  Details of a successful clinical decision support system.

Authors:  Jeff Friedlin; Paul R Dexter; J Marc Overhage
Journal:  AMIA Annu Symp Proc       Date:  2007-10-11

Review 4.  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

5.  Lost in Thought - The Limits of the Human Mind and the Future of Medicine.

Authors:  Ziad Obermeyer; Thomas H Lee
Journal:  N Engl J Med       Date:  2017-09-28       Impact factor: 91.245

6.  A comparison of the effects of computer and manual reminders on compliance with a mental health clinical practice guideline.

Authors:  D S Cannon; S N Allen
Journal:  J Am Med Inform Assoc       Date:  2000 Mar-Apr       Impact factor: 4.497

7.  A tool for provider interaction during patient care: G-CARE.

Authors:  J M Overhage; B Mamlin; J Warvel; J Warvel; W Tierney; C J McDonald
Journal:  Proc Annu Symp Comput Appl Med Care       Date:  1995

8.  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

9.  Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a randomized controlled study.

Authors:  Peter J Embi; Anthony C Leonard
Journal:  J Am Med Inform Assoc       Date:  2012-04-25       Impact factor: 4.497

10.  Barriers for Adopting Electronic Health Records (EHRs) by Physicians.

Authors:  Sima Ajami; Tayyebe Bagheri-Tadi
Journal:  Acta Inform Med       Date:  2013
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