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Computerized Clinical Decision Support Systems: How Effective Are they?

Series Editor: R Brian Haynes

Collection published: 3 August 2011

Doctor computer smartphone and patient Computerised clinical decision support systems (CCDSSs) match the characteristics of patients to a computerized medical knowledge base and provide recommendations to clinicians for consideration. Proponents of CCDSSs claim that they help with the accuracy and consistency of clinical decisions and so improve the process of care and the outcomes of patients. Such claims are similar to those of other health interventions, both drugs and devices, and, in our view, ought to be tested to the same standard as other health claims, namely, in rigorous trials that minimize bias. Many such trials exist and the pace of publication is increasing. We sought to summarize the results of these trials. The detailed methods for our systematic review have been previously published: http://www.implementationscience.com/content/5/1/12

This series assesses the effects of CCDSSs on the process of care and the outcomes of patients for 6 domains of clinical practice:

  1. Primary Prevention
  2. Diagnostic Test Ordering
  3. Drug Ordering
  4. Therapeutic Drug Monitoring
  5. Acute care
  6. Chronic Disease Management

Systematic review   Open Access

Computerized clinical decision support systems for chronic disease management: A decision-maker-researcher partnership systematic review

Pavel S Roshanov, Shikha Misra, Hertzel C Gerstein, Amit X Garg, Rolf J Sebaldt, Jean A Mackay, Lorraine Weise-Kelly, Tamara Navarro, Nancy L Wilczynski, R Brian Haynes, the CCDSS Systematic Review Team Implementation Science 2011, 6:92 (3 August 2011)

Abstract | Full text | PDF | PubMed | Cited on BioMed Central

Systematic review   Open Access

Computerized clinical decision support systems for acute care management: A decision-maker-researcher partnership systematic review of effects on process of care and patient outcomes

Navdeep Sahota, Rob Lloyd, Anita Ramakrishna, Jean A Mackay, Jeanette C Prorok, Lorraine Weise-Kelly, Tamara Navarro, Nancy L Wilczynski, R Brian Haynes, the CCDSS Systematic Review Team Implementation Science 2011, 6:91 (3 August 2011)

Abstract | Full text | PDF | PubMed | Cited on BioMed Central

Systematic review   Open Access

Computerized clinical decision support systems for therapeutic drug monitoring and dosing: A decision-maker-researcher partnership systematic review

Robby Nieuwlaat, Stuart J Connolly, Jean A Mackay, Lorraine Weise-Kelly, Tamara Navarro, Nancy L Wilczynski, R Brian Haynes, the CCDSS Systematic Review Team Implementation Science 2011, 6:90 (3 August 2011)

Abstract | Full text | PDF | PubMed | Cited on BioMed Central

Systematic review   Open Access

Computerized clinical decision support systems for drug prescribing and management: A decision-maker-researcher partnership systematic review

Brian J Hemens, Anne Holbrook, Marita Tonkin, Jean A Mackay, Lorraine Weise-Kelly, Tamara Navarro, Nancy L Wilczynski, R Brian Haynes, the CCDSS Systematic Review Team Implementation Science 2011, 6:89 (3 August 2011)

Abstract | Full text | PDF | PubMed | Cited on BioMed Central

Systematic review   Open Access

Can computerized clinical decision support systems improve practitioners' diagnostic test ordering behavior? A decision-maker-researcher partnership systematic review

Pavel S Roshanov, John J You, Jasmine Dhaliwal, David Koff, Jean A Mackay, Lorraine Weise-Kelly, Tamara Navarro, Nancy L Wilczynski, R Brian Haynes, the CCDSS Systematic Review Team Implementation Science 2011, 6:88 (3 August 2011)

Abstract | Full text | PDF | PubMed | Cited on BioMed Central

Systematic review   Open Access

Computerized clinical decision support systems for primary preventive care: A decision-maker-researcher partnership systematic review of effects on process of care and patient outcomes

Nathan M Souza, Rolf J Sebaldt, Jean A Mackay, Jeanette C Prorok, Lorraine Weise-Kelly, Tamara Navarro, Nancy L Wilczynski, R Brian Haynes, the CCDSS Systematic Review Team Implementation Science 2011, 6:87 (3 August 2011)

Abstract | Full text | PDF | PubMed | Cited on BioMed Central


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