This may be useful:
Pediatr Crit Care Med. 2009 Jan;10(1):23-8.
Links
Clinical decision support systems in the pediatric intensive care unit.
Mack EH, Wheeler DS, Embi PJ.
Division of Critical Care Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. [log in to unmask]
OBJECTIVE: To review the use of clinical decision support systems (CDSS) available in the pediatric intensive care unit (PICU). DATA SOURCES: Relevant English language publications indexed in Medline, as well as CDSS-related white papers and texts. STUDY SELECTION AND DATA EXTRACTION: Studies related to CDSS were considered. DATA SYNTHESIS: CDSS are operationally defined as computer software programs that aid healthcare providers in their clinical decision making. Once used solely for diagnostic support, many CDSS now have the ability to transform clinical practice through interactive assistance with therapeutic best practices. The recent emphasis on improving quality and patient safety through the incorporation of electronic health records as supported by Leapfrog and other agencies has encouraged advancements in the use of CDSS tools that leverage the capabilities of stand-alone electronic health records. CDSS are of particular interest in the PICU
where rapid decision-making benefits from tools that can improve patient safety. CDSS have been described in the PICU with varying effects on healthcare outcomes. A growing consensus indicates that the success of such interventions depends as much or more on how they are implemented and used in such complex environments as on their programming. In the current review, the types and features of various CDSS tools and the supporting evidence are discussed. Factors such as liability, human factors engineering, alert fatigue, and audit trails are also covered. CONCLUSION: CDSS have the potential to improve clinical practice in PICU settings. Care should be taken when selecting and implementing such systems to achieve the goal of improved clinical practice while avoiding potential adverse impacts sometimes associated with the implementation of new technologies in complex healthcare settings.
Best,
Paul
'Non illegitimis carborundum'
(Don't ever let them/it wear or grind you down)
Follow the path of the unsafe, independent thinker.
Expose your ideas to the dangers of controversy.
Speak your mind and fear less the label of 'crackpot' than the stigma of conformity.
And on issues that seem important to you, you stand up and be counted at any cost.
Thomas J Watson (1874-1956)
--- On Fri, 4/10/09, Djulbegovic, Benjamin <[log in to unmask]> wrote:
From: Djulbegovic, Benjamin <[log in to unmask]>
Subject: critical appraisal of CDSS (Clinical Decision Support Systems)...
To: [log in to unmask]
Received: Friday, April 10, 2009, 12:31 PM
Dear all,
I hope someone would be kind to help. I am looking for a checklist/paper (ideally a systematic review) regarding critical appraisal of CDSS (Clinical Decision Support Systems).
In addition, I am looking for an advice regarding evaluation of CDSS: if you are to set up a study to evaluate performance of CDSS (or, for that matter any HIT-health information technology application), how would you go about it?
Thanks in advance for any help you can provide.
Best
ben
Benjamin Djulbegovic, MD, PhD
Professor of Medicine and Oncology
University of South Florida & H. Lee Moffitt Cancer Center & Research Institute
Co-Director of USF Clinical Translation Science Institute
Director of USF Center for Evidence-based Medicine and Health Outcomes Research
Mailing Address:
USF Health Clinical Research
12901 Bruce B. Downs Boulevard, MDC02
Tampa, FL 33612
Phone # 813-396-9178
Fax # 813-974-5411
e-mail: [log in to unmask]
______________________
Campus Address: MDC02
Office Address :
13101 Bruce B. Downs Boulevard,
CMS3057
Tampa, FL 33612
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