Clinical decision support systems: state of the art

  • Berner E
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Abstract

Clinical decision support (CDS) systems provide clinicians, staff, patients, and other individuals with knowledge and person-specific information, intelligently filtered and presented at appropriate times, to enhance health and health care.1 The Institute of Medicine has long recognized problems with health care quality in the United States, and for more than a decade has advocated using health information technology (IT), including electronic CDS, to improve quality.2-5 Since 2004, when the Federal Government promoted the importance of electronic medical records (EMRs), * there has been a slow but increasing adoption of health IT.7-9 It must be remembered, though, that these health IT applications are a means to improve health care quality, not an end in themselves.10 Further, although EMRs with computerized provider order entry (CPOE) can improve accessibility and legibility of information, it is unlikely that there will be major improvements in the quality and cost of care from the use of health IT without proper implementation and use of CDS.11-15

Author-supplied keywords

  • Clinical Decision Support
  • Review Article

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Authors

  • E S Berner

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