Evaluation of the Decision Support Systems

MDSSs (medical decision support systems) are computer applications providing clinicians with suitable information about a patient’s clinical situation, as well as knowledge relevant to the situation, appropriately filtered and presented, to improve the quality of care and the patients’ health. As is the case with any intervention aiming at influencing medical practices and their impact on the patients’ health, it seems appropriate to question their real value through a methodology for reliable evaluation. Evaluation methods are necessarily dependent on the questions raised and it is common for different questions to lead to different methodologies and different processes of data collection and analysis. In the light of this, better consideration and better implementation of the evaluation processes of these systems are major criteria on which their future depends.

[1]  Adam Wright,et al.  A Set of Preliminary Standards Recommended for Achieving a National Repository of Clinical Decision Support Interventions , 2009, AMIA.

[2]  Peter Elkin,et al.  The Human Factors Engineering Approach to Biomedical Informatics Projects: State of the Art, Results, Benefits and Challenges , 2007, Yearbook of Medical Informatics.

[3]  David W. Bates,et al.  Reducing the frequency of errors in medicine using information technology. , 2001, Journal of the American Medical Informatics Association : JAMIA.

[4]  Charles P. Friedman,et al.  Publication Bias in Medical Informatics , 2001, J. Am. Medical Informatics Assoc..

[5]  Hans-Ulrich Prokosch,et al.  Visions and strategies to improve evaluation of health information systems: Reflections and lessons based on the HIS-EVAL workshop in Innsbruck , 2004, Int. J. Medical Informatics.

[6]  Elske Ammenwerth,et al.  Research Paper: Factors Affecting and Affected by User Acceptance of Computer-based Nursing Documentation: Results of a Two-year Study , 2003, J. Am. Medical Informatics Assoc..

[7]  P Schattner,et al.  Electronic decision support in general practice. What's the hold up? , 2003, Australian family physician.

[8]  J Wyatt,et al.  Quantitative evaluation of clinical software, exemplified by decision support systems. , 1997, International journal of medical informatics.

[9]  Eta S. Berner Editorial Comments: Diagnostic Decision Support Systems: How to Determine the Gold Standard? , 2003, J. Am. Medical Informatics Assoc..

[10]  John Fox,et al.  Clinical decision support systems: a discussion of quality, safety and legal liability issues , 2003, AMIA.

[11]  P Schattner,et al.  Electronic decision support in general practice , 2003 .

[12]  P Alonso,et al.  [Clinical practice guidelines (I): elaboration, implementation and evaluation]. , 2007, Radiologia.

[13]  Charlene R. Weir,et al.  Research Paper: A Cognitive Task Analysis of Information Management Strategies in a Computerized Provider Order Entry Environment , 2007, J. Am. Medical Informatics Assoc..

[14]  J R Beck Medical Decision Making: 20 Years of Advancing the Field , 2001, Medical decision making : an international journal of the Society for Medical Decision Making.

[15]  D. Spiegelhalter,et al.  Field trials of medical decision-aids: potential problems and solutions. , 1991, Proceedings. Symposium on Computer Applications in Medical Care.

[16]  Jacques Bouaud,et al.  Using Knowledge Modelling to Measure How Clinical Practice Could Actually Be Evidence-Based: A Preliminary Analysis with Arterial Hypertension Management , 2009, MIE.

[17]  Omolola Ogunyemi,et al.  GLIF3: a representation format for sharable computer-interpretable clinical practice guidelines , 2004, J. Biomed. Informatics.

[18]  Jane Grimson,et al.  A methodology for evaluation of knowledge-based systems in medicine , 1994, Artif. Intell. Medicine.

[19]  J. Eichner,et al.  Challenges and Barriers to Clinical Decision Support ( CDS ) Design and Implementation Experienced in the Agency for Healthcare Research and Quality CDS Demonstrations , 2010 .

[20]  Jane Grimson,et al.  A Methodology for Evaluation of Knowledge-Based Systems , 1991, MIE.

[21]  M. Adin L'informatique médicale , 1972 .

[22]  Richard N. Shiffman,et al.  Review: Computer-based Guideline Implementation Systems: A Systematic Review of Functionality and Effectiveness , 1999, J. Am. Medical Informatics Assoc..