Adoption of clinical decision support (CDS) systems leads to improved clinical performance through improved clinician decision making, adherence to evidence-based guidelines, medical error reduction, and more efficient information transfer and to reduction in health care disparities in under-resourced settings. However, little information on CDS use in the community health care (CHC) setting ex...

There is much discussion on medical ethics literature regarding the importance of the patients' right for self-determination. We discuss some of the limitations of patient's autonomy with the aim to draw attention to the ethical complexity of medical decision making in the everyday clinical practice.

This article focuses on the requirements and current developments in clinical decision support technologies for immunizations (CDSi) in both the public health and clinical communities, with an emphasis on shareable solutions. The requirements of the Electronic Health Record Incentive Programs have raised some unique challenges for the clinical community, including vocabulary mapping, update of ...

The focus of this work is clinico-genomic decision support system for better diagnosing and managing chronic diseases. We propose a clinical decision support system for early diagnosis of chronic diseases(such as arthritis, Diabetes, Cardio Vascular Disease) and better disease management. We propose a generalizable framework, which can accommodate several distinct features coming into the syste...

While a variety of information technology (IT) acceptance and use models have been extensively examined and validated in numerous contexts, most studies have been conducted in western cultures, and thus not much is known about the probable moderating role of culture on the relationships between the constructs in those models. To fill this gap in the literature, we propose to empirically investi...

Clinical Decision Support Systems (CDSS) are typically constructed from expert knowledge and are often reliant on inputs that are difficult to obtain and on tacit knowledge that only experienced clinicians possess. Research described in this article uses empirical results from a clinical trial of a CDSS with a decision model based on expert knowledge to show that there are differences in how cl...

Introduction/Background A large academic hospital organization with seven affiliates decided to transition from multiple home grown and commercial systems to one commercial electronic health record (EHR). The task to develop a standardized request form that would capture necessary elements of clinical decision support (CDS) was essential to inventory current state CDS, to migrate current state ...

BACKGROUND The aim of this study was to develop an instrument to measure laypeople's beliefs about the nature of medical knowledge and knowing (the EBAM). Such beliefs should be a target of increased research interest because they influence how people handle medical information, for example in shared decision making. METHODS An online survey was completed by 284 participants. Items assessed d...