Difference between revisions of "“Clinical decision support systems”"

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This is a review of Beeler, P.E., Bates, D.W. & Hug, B.L. (2014).  “Clinical decision support systems”. <ref> Beeler, P.E., Bates, D.W. & Hug, B.L. (2014).  Clinical decision support systems. Swiss Medical Weekly; 144:w14073. http://www.ncbi.nlm.nih.gov/pubmed/25668157 </ref>
 
  
== Background ==
 
 
Clinical Decision Support (CDS) has been shown to help reduce the occurrence of deep vein thrombosis (DVT), promote the use of vaccinations and decrease serious and costly medication errors. 
 
Beeler, Bates & Hug, (2014) point out that “CDS may introduce errors, and therefore the term “e-iatrogenesis” has been proposed to address unintended consequences” (p.1). Keeping in mind the benefits and pitfalls associated with CDS, its implementation must be cautiously carried out.
 
 
== Methods ==
 
 
This was a review article so Beeler, Bates & Hug, (2014) looked at such topics as basic duties and types of CDS, the expected consequences of CDS which are “expected to lead to higher patient safety with better treatment quality, less adverse events and reduced costs” (p.2). Another area examined was the potential for CDS to do harm such as do “false positive alerts increase the risk of alert fatigue” (p.3). Finally the authors dealt with the implementation of CDS and likely future research avenues. 
 
 
== Results ==
 
 
Through their research Beeler, Bates & Hug, (2014) found numerous positive outcomes associated with CDS such as “higher patient safety with better treatment quality, less adverse events and reduced costs” (p.2). Also of particular interest the authors found in the literature reviewed that when [[CPOE]] is coupled with CDS the frequency of adverse drug events are lowered considerably. Of course there were references in this work to some cons of CDS mostly citing excessive alerts as well as extra duties and time spent without any direct face to face time with their patients. 
 
 
== Conclusion ==
 
Beeler, Bates & Hug, (2014) puts forth some very strong arguments in support of CDS systems as well as their combination with CPOE. This paper has a very extensive reference section which endows the study with many important points on CDS pros, cons, its implementation and future research. The authors emphasize the importance of the implementation of the CDS as critical to its overall degree of usability and potential to mitigate possible medical mishaps.
 
 
== References ==
 
<references/>
 
[[Category: CDS]]
 
[[Category: CPOE]]
 

Latest revision as of 22:46, 24 February 2015