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Tuesday, March 15, 2005

systematic review of decision support systems

systematic review of decision support systems

This review by Kensaku Kawamoto, Caitlin A Houlihan, E Andrew Balas and David F Lobach has been published in BMJ Online. It reports a review of 70 studies in the field and found decision support systems significantly improved clinical practice in 68% of trials.

The researchers identified 4 key factors; automatic provision of decision support as part of
clinician workflow, provision of recommendations rather than just assessments, provision of decision support at the time and location of decision making, and computer based decision support.
Of 32 systems possessing all four features, 30 (94%) significantly improved clinical practice.


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