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Clinical decision support models and frameworks: Seeking to address research issues underlying implementation successes and failures.

Abstract：

:Computer-based clinical decision support (CDS) has been pursued for more than five decades. Despite notable accomplishments and successes, wide adoption and broad use of CDS in clinical practice has not been achieved. Many issues have been identified as being partially responsible for the relatively slow adoption and lack of impact, including deficiencies in leadership, recognition of purpose, understanding of human interaction and workflow implications of CDS, cognitive models of the role of CDS, and proprietary implementations with limited interoperability and sharing. To address limitations, many approaches have been proposed and evaluated, drawing on theoretical frameworks, as well as management, technical and other disciplines and experiences. It seems clear, because of the multiple perspectives involved, that no single model or framework is adequate to encompass these challenges. This Viewpoint paper seeks to review the various foci of CDS and to identify aspects in which theoretical models and frameworks for CDS have been explored or could be explored and where they might be expected to be most useful.

journal_name

J Biomed Inform

journal_title

Journal of biomedical informatics

authors

Greenes RA,Bates DW,Kawamoto K,Middleton B,Osheroff J,Shahar Y

doi

10.1016/j.jbi.2017.12.005

subject

Has Abstract

pub_date

2018-02-01 00:00:00

pages

134-143

eissn

1532-0464

issn

1532-0480

pii

S1532-0464(17)30275-7

journal_volume

78

pub_type

杂志文章,评审

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